Insurance Verification Representative - Internal Medicine Associates
Role Overview
The Insurance Verification Representative is responsible for verifying insurance coverage and benefits for scheduled procedures and services.
This role ensures accuracy in patient records and assists in obtaining prior authorizations, if needed, to facilitate timely reimbursement.
The Insurance Verification Representative works closely with clinical and administrative teams to provide a seamless patient experience.
Full Job Posting
Why Join Us?
Be Valued for What You Bring to the Team – Competitive pay that rewards your hard work
Benefits You Can Count On – Medical, dental, vision, and life insurance coverage
Work Hard. Recharge Often. – Generous PTO and extended illness benefits
Invest in Your Future – 401(k) with company match
Grow With Us – Career development, learning opportunities, and advancement pathways
We Invest in Your Success – Licensure and certification reimbursement for eligible roles
Student Loan Support – Assistance available for eligible roles
Your Wins Deserve Recognition – Employee rewards and recognition programs
A Team You'll Love Working With – A collaborative, purpose-driven culture making a difference every day
Additional Voluntary Benefits – Choose from options such as pet insurance, identity protection, and legal insurance.
Great people. Great benefits. Meaningful work. Join us and make an impact.
Hours of Operation: Monday - Thursday 7:30-5:00 and Friday 7:30 -12:00
Job Summary The Insurance Verification Representative is responsible for verifying insurance coverage and benefits for scheduled procedures and services. This role ensures accuracy in patient records and assists in obtaining prior authorizations, if needed, to facilitate timely reimbursement. The Insurance Verification Representative works closely with clinical and administrative teams to provide a seamless patient experience. Essential Functions
Verifies patient insurance information, including eligibility, benefits, and coverage limitations.
Reviews scheduled services and procedures to determine any necessary pre-certifications or authorizations.
Coordinates with insurance providers to obtain required authorizations and verifies prior approvals.
Communicates insurance requirements and benefit information to patients and answers any questions related to coverage.
Accurately enters and updates insurance information in the patient’s medical record and billing systems.
Identifies and resolves any insurance-related discrepancies or issues, working with other departments as necessary.
Assists with resolving denied authorizations and facilitates appeals as required.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
- 0-2 years of experience in insurance verification, billing, or a related role in a healthcare setting required
- Knowledge, Skills and Abilities
- Basic knowledge of insurance terminology, eligibility verification, and authorization processes.
- Strong attention to detail and accuracy in data entry and documentation.
- Effective communication and interpersonal skills for interacting with patients, staff, and insurance companies.
- Ability to manage time effectively and work in a fast-paced environment.
- Proficient in basic computer skills and comfortable navigating healthcare billing or insurance software.
- This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer.
About Community Health Systems
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