The Insurance Verification Clerk responsibilities includes:
- Review Patient information verifying patient information is accurate.(spelling of name, D.O.B., gender, etc)
- Verifies patient insurance benefits by contacting insurance companies and interpretation of managed care contracts. Determines pre-certification requirements
- Verify insurance benefits by reviewing our contract and patient’s quoted benefits.
- Determine co-pay. Post all insurance and billing comments. Enter all information into patient accounting system.
- Contact patients regarding money due prior to date of surgery.
- Assists patients with credit agreements. (Care Credit)
- Determines patient responsibility for cash payment based on reimbursement and account reviews
- Reviews financial records for correctness
- Determines patient responsibility for cash payment based on reimbursement and account reviews.
- Attaching correct documentation to verification sheets and delivering to appropriate staff.
- Authorized to access medication storage areas for the purpose of performing patient registration, clerical functions, and other related duties as assigned.
Required Skills
- High school graduate or equivalent.
- One year previous experience or some hospital clerical experience or medical terminology preferred.
- Must have the skills necessary to operate the office equipment required to fulfill job duties.
- Medical terminology and computer experience beneficial
- Good communication skills and interpersonal relation skills.
- Must use independent judgment and adapt quickly to changing circumstances.
- Requires good time management skills.
Required Experience