Ensuring all outpatient insurance requirements are completed in advance of patient’s scheduled appointment date by evaluating procedures, validating insurance, monitoring authorizations, and managing denials.
Offered rates increase based on years of work experience.
- Evaluate patient’s scheduled procedures to determine if prior authorization is required
- Review and validate patient insurance information to confirm coverage for scheduled procedures
- Monitor authorization request, follow up with payers, and record all communications regarding insurance claims
- Review insurance denials, resubmit claims, and submit appeals as necessary
- Ensure patient insurance eligibility is verified and authorizations are obtained through insurance portals (e.g., Evicore, etc.)
- medical
- prescription
- dental
- vision
- flexible spending accounts
Patient Service RepresentativeCare For the Homeless · Bronx, US