Insurance Verification Rep

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Insurance Verification Rep today with South Texas Radiology Imaging Centers. Job Summary and Qualifications The Pre-Registration/Insurance Verifier is responsible for verifying eligibility and benefits of health insurance, government programs and/or workers compensation insurance prior to a patient having an examination. The process also includes verification of the insurance company claims billing address. Must also verify as to whether a procedure that has been scheduled requires pre-certification or an authorization number in order to be performed and reimbursed. Essential Job Functions Verifies policy and group number, as well as guarantor and dependents information with insurance company; verifies eligibility and benefits with insurance company; verifies claim mailing address of insurance company. Annotates all scheduling changes appropriately in the patient’s history notes. Verifies whether pre-certification or pre-authorization is required for exam to be performed and reimbursed. Contacts referring physician office if required to obtain additional information regarding exam to send to insurance company for authorization of exam. Notifies referring physician office, patient and/or imaging center if exam is not authorized or if exam will not be covered. Additional Job Functions Supports the mission and vision of South Texas Radiology Imaging Centers and demonstrates excellent customer service at all times. Understands and is committed to helping South Texas Radiology Imaging Centers and its associated facilities achieve its goals. Must learn and comply with System and facility safety policies and rules; must use appropriate safety equipment and procedures at all times; must immediately report all unsafe conditions to supervisors; must be familiar with all safety features of equipment, tools or materials encompassed by job duties; and must check with supervisors (prior to job performance) if there is a question as to the safe procedure to be used for any job function. Adheres to the STRIC Code of Conduct and demonstrates ethical behavior as expected by our patients, colleagues and the community. Understands the personal obligation to report any activity that appears to violate applicable laws, rules and regulations or the Code of Conduct itself. Completes other duties as assigned. Minimum Education and Experience High School Graduate or GED required. Must have excellent phone etiquette and communication skills. Must demonstrate proficiency in operating modern telephone, computer and office equipment. Must have a working knowledge of medical terminology. Must possess a working knowledge of health insurance, government programs and worker’s compensation. Minimum License and Certificates Required N/A Benefits South Texas Radiology Imaging Centers offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support , including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits ( Note: Eligibility for benefits may vary by location. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #J-18808-Ljbffr HCA Healthcare