Intake Representative - Medical Insurance Authorizations

The Intake Representative - Medical Insurance Authorization is responsible for verifying detailed benefits and insurance authorization requirements. The position requires attention to detail, the ability to multitask, and a sense of urgency.

 

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.

• Verifying correct patient information, including insurance benefits and authorization requirements for permanent and transient patients.
• Submitting required authorizations timely and following up on determinations when needed.
• Update patient information in a timely manner to avoid delays in billing cycles.
• Contacting the admissions team and/or clinical personnel to obtain missing or incorrect information during initial verification.
• Verifying accuracy of data and updating accounts based off weekly audits.
• Update patient accounts with newly acquired information and notify appropriate personnel if claims require rebilling or require voiding and regenerating.
• Keep up to date on COB rules according to insurance guidelines and requirements.
• Maintaining a professional work relationship with all facility and office staff; develop effective relationships at all levels of the organization.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

• High school diploma or equivalent.
• Knowledge of various health insurance programs and the medical insurance industry preferred.
• Insurance authorizations experience
• Previous experience verifying detailed insurance benefits and authorization requirements preferred.
• Knowledge of medical terminology and government/private insurer rules and regulations.
• Must have intermediate computer skills, including Microsoft Office (Word, Excel, Outlook); Working knowledge of Internet for business use.
• Requires research and exceptional organization skills to manage a large patient load.
• Ability to work in a fast-paced environment, deadline driven environment