Insurance Verification Representative

• 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