Baptist Health Care
Baptist Health Care
Posted 3 months ago
Full Time
Pensacola, Florida
Fully Remote
Smart Summary
Responsibilities
The representative validates patient demographics and insurance benefits with payers to ensure accurate EMR documentation. They also create cost estimates in compliance with state transparency and no-surprise billing regulations.
Qualifications
You will be responsible for obtaining and validating patient demographics, insurance information, and insurance benefits with payers. You will accurately reflect this information in the EMR and work closely with various departments to ensure proper financial clearances.
Must Have Skills for ATS
EMR
case management
utilization review
Job Description
The Insurance Verification Representative ensures that patient demographics, insurance information, and insurance benefits are obtained and validated with the payer. This information is to be accurately reflected within the EMR for BHC appropriate communications with the payer, patient, and ordering provider must be professional and documented. In addition to the timely execution and review of benefit information, estimates are created in accordance with state regulations regarding transparency and no surprise billing. The Insurance Verification Representative works closely with case management/utilization review, payers, provider practices, patients, scheduling, financial counselors, and registration to ensure proper financial clearances.
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 includes three 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.
Baptist Health Care
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