Insurance Follow Up Verifier- Cardiology

Baptist Health Care

Pensacola, Florida

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JOB DETAILS

SKILLS

Cardiology, Co-Payments, Customer Support/Service, Documentation, Financial Liability, Health Insurance, Healthcare, Healthcare Providers, Hospital, Insurance, Medical Records, Nonprofit, Orthopedics, Outpatient Care, Patient Care, Primary Care, Quality of Life, Sports Medicine, Testing, Time Management

LOCATION

Pensacola, Florida

POSTED

3 days ago

JOB DESCRIPTION

This position is onsite, not remote

The Insurance Follow Up/Verifier is responsible for all inpatient/outpatient areas, including but not limited to: scheduled surgeries, the inpatient census reports, on-line systems provided by multiple payers to verify insurance eligibility, obtain benefits, obtain required authorizations, contact patients with financial liability, and maintain appropriate/ consistent documentation on accounts worked. The insurance follow up/verifier is consistently updating patient health information to ensure insurance accuracy. Ensuring accurate and timely follow up by making calls to the insurance company regarding authorization status. The insurance follow up/verifier reviews orders prior to testing to ensure it meets medical necessity guidelines. The insurance follow up/verifier files and follows up on appeals to the insurance company.

RESPONSIBILITIES

Responsible for verifying insurance eligibility and obtaining authorizations for office visits, diagnostic and procedural services for all Baptist Cardiology office locations.
Works closely with Baptist Medical Group Representatives, all medical facilities, insurance companies, providers, patients and family members.
Work daily reports from various systems to ensure the proper capture of all patients for verification/authorization.
Communicates directly with the patients three (3) to five (5) days prior to arrival with information about co-pay, co-insurance and deductible amounts due at time of service (makes three (3) attempts to contact patient prior to visit) and provides patients with information regarding financial arrangements and/or financial assistance when needed.
Provides patients and ordering physicians with information regarding needed authorization prior to patient's arrival.
Files and follows up on appeals to the insurance companies. Communicates appeal information to the providers and patients.

QUALIFICATIONS

Minimum Education

High School Diploma or Equivalent Required

Minimum Work Experience

6 months customer service experience preferably in a Health Care/office setting Required

ABOUT US

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law. Certain positions may require a Level 2 Background check through AHCA. Additional information about this requirement can be found here: Florida Care Provider Background Screening Clearinghouse

Insurance Follow Up Verifier- Cardiology

Baptist Health Care

Pensacola, Florida

About the Company

Baptist Health Care

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