Insurance Verification Representative - Tennova Neurosurgery - Turkey Creek

Job description

Job Summary The Insurance Verification Representative is responsible for accurately verifying patient insurance coverage, benefits, and eligibility to ensure proper reimbursement and prevent service delays. This role coordinates with physician offices, case management teams, and financial counseling to facilitate pre-certifications, authorizations, and patient financial obligations. The Insurance Verification Representative plays a key role in maintaining accurate patient account liability, minimizing denials, and improving revenue cycle efficiency. Essential Functions: - Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients, ensuring accuracy and completeness before services are rendered. - Coordinates with physician offices to obtain required pre-authorizations and pre-certifications, preventing reschedules or cancellations due to missing approvals. - Confirms patient coverage for procedures and treatments, documenting insurance details, policy limitations, and reimbursement expectations. - Initiates financial counseling for uninsured or underinsured patients, referring them to financial assistance programs or payment plan options...