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The Patient Access Representative I – Insurance Verification is responsible for verifying insurance eligibility, securing authorizations, and ensuring accurate patient registration to support timely and complete reimbursement. This role serves as a key liaison between patients, providers, and payors, ensuring a seamless financial clearance process prior to service delivery.
Job Responsibility:
Verify insurance eligibility and benefits using electronic tools and payer portals
Obtain prior authorizations and document approvals in the registration system
Collect co-pays, deductibles, and outstanding balances
establish payment plans when needed
Explain insurance coverage, financial responsibility, and available financial assistance to patients
Register patients accurately, ensuring all demographic and insurance data is complete
Coordinate with clinical departments and physician offices to confirm procedure details and scheduling needs
Respond to patient inquiries regarding insurance, billing, and scheduling
Maintain accurate documentation of all verification and authorization activities
Reconcile daily cash drawer and ensure compliance with financial policies
Adhere to HIPAA and organizational confidentiality standards
Performs related duties as assigned
Requirements:
One (1) year of experience in a healthcare setting preferred, especially in insurance verification or scheduling
Knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills
Proficiency in EHR systems and payer verification tools