Insurance Representative

This is a fully remote position, open to applicants in North Carolina, +3 more states.

📋 Description

• Collect precise patient demographic and insurance details during inpatient and outpatient registration.

• Disseminate relevant information to all departments.

• Oversee physician-ordered diagnostic tests for medical necessity in accordance with government regulations.

• Confirm patient insurance coverage and benefits, documenting the information in the AS400 system.

• Inform the Supervisor about self-pay patients and notify the UR Department regarding any insurance coverage issues.

• Ensure that pre-certifications and authorizations are secured by physician offices when necessary.

• Alert the relevant departments if required pre-certifications or authorizations are not acquired.

• Carry out additional duties as assigned in line with departmental standards.

⛳️ Requirements

• Must be available to work from 8:30 AM to 5:00 PM on weekdays.

• Familiarity with patient demographics and insurance information processes is essential.

• Capability to verify insurance coverage and benefits is required.

• Proficiency in documenting information in the AS400 system is necessary.

• Understanding of medical necessity criteria according to government regulations is important.

• Ability to manage pre-certifications and authorizations is required.

• Competence in performing tasks according to departmental standards is essential.

🏝️ Benefits

• Commitment to supporting the growth, success, and well-being of each team member.

• A meaningful career where you are valued, inspired, and supported.

• Opportunity to join a connected, mission-driven team.