Insurance Verification Reps

Contacts Medicare, Medicaid and private insurance companies, by phone or internet tools, to obtain benefit and eligibility information

Efficiently and accurately verifies, reviews, documents and completes insurance verifications

Evaluates insurance coverage in order to determine the policy’s compatibility with our program

Determines if selected products are appropriate based on patient need and insurance benefit plan

Communicates with operations, sales team, referral or patient, regarding insurance benefits and coordination with products and programs

Achieves stated revenue goals, production, and performance objectives

Escalates recurring problem accounts, physician groups, or other trends to the management appropriately and in a timely manner

Maintains advanced knowledge of specialty and ancillary products to answer patient questions and assist with accurately processing complex orders, including out-of-stock items, exchanges and returns 

Maintains a high degree of confidentiality at all times due to access to sensitive information 

Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department

Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements

Abides by all regulations, policies, procedures and standards