Insurance Representative
Full Job Posting
Responsibilities
- Responsibilities: Confirms insurance coverage via payer portals and determines necessity for pre-authorization.
- Obtains authorization and processes referrals for services ordered by providers. Schedules appointments as appropriate and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement.
- Remains current on referral policies and procedures, payer requirements, managed care matrix, portals and determines financial responsibility for services to be provided.
- Communicates with patients, healthcare providers, and third-party service providers regarding insurance coverage and barriers to care.
- Documents detailed information in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details. Notifies patients and providers of services requested that are not authorized by insurance.
Qualifications
- Licensure / Certification / Registration
- Required Credential(s):
- None Required.
- Education
- High school diploma or equivalent required.
- Work Experience
- 2+ years prior authorization experience required.
- Additional Preferences:
- 1+ years of experience in a Medical Office working
- 1+ years of customer service experience
About Company
Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
Time to recharge: pro-rated paid time off (PTO) and holidays
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Family support: parental leave, adoption assistance and family benefits
Other benefits: optional legal and pet insurance, transportation savings and more
Company
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-Verify statement
Employer participates in the Electronic Employment Verification Program. Please click here for more information.
About Ascension Sacred Heart
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Ascension
National nonprofit Catholic health system providing patient care services.
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