Insurance Verifier Representative - Rehab

Company: Baptist Health Care
Location: Gulf Breeze
Posted on: January 27, 2023

Job Description:

Job Description

The Rehab Insurance Verifier is responsible for the registration of new patients for the outpatient rehab departments that they have been assigned, which fall under the Baptist Health Care System. The responsibilities include insurance verification, authorization/reauthorization, precertification/re-certifications and providing excellent customer service to our customers (patients, physician offices, and co-workers). This position ensures that patient demographics, insurance information, and insurance benefits, are obtained and entered into the Patient accounting system and then sending the benefit information back to the appropriate outpatient rehab department.

Responsibilities

Proficient with registration process including strong understanding of Insurance Payors and Plan codes, along pre-cert / authorization criteria needed for scheduling and performing services. Maintains department goals established for registration accuracy, insurance verification, and other healthcare industry standards or trends in which this position's metrics of measurement are based. Understands fully all functionality of the systems utilized for this position. Coordinates with physician offices as needed to obtain appropriate authorizations required by Payers for services ordered by physician. Reviews and updates the patient's account to ensure the Hospital has accurate and current information to process claims and to obtain payment including complete documentation of benefits, authorization information, and patient financial responsibility including other insurance changes as required. Tracks productivity and provides cumulative reports on a daily, weekly, or monthly basis, as required by department.Assist in other duties as assigned to support the operational needs of the department and organization. May be required to remain on campus immediately before, during, and after severe weather and/or disasters.

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 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.

Keywords: Baptist Health Care, Mobile , Insurance Verifier Representative - Rehab, Healthcare , Gulf Breeze, Alabama