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Insurance Follow Up-Verifier at Baptist Health Care

Pensacola, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

30 Sep, 26

Salary

0.0

Posted On

02 Jul, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Insurance Eligibility, Authorization Procurement, Medical Necessity Review, Appeals Filing, Patient Communication, Documentation, Customer Service

Industry

Hospitals and Health Care

Description

The Insurance Follow Up/Verifier is responsible for all inpatient/outpatient areas, including but not limited to: scheduled surgeries, the inpatient census reports, on-line systems provided by multiple payers to verify insurance eligibility, obtain benefits, obtain required authorizations, contact patients with financial liability, and maintain appropriate/ consistent documentation on accounts worked. The insurance follow up/verifier is consistently updating patient health information to ensure insurance accuracy. Ensuring accurate and timely follow up by making calls to the insurance company regarding authorization status. The insurance follow up/verifier reviews orders prior to testing to ensure it meets medical necessity guidelines. The insurance follow up/verifier files and follows up on appeals to the insurance company. 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. Certain positions may require a Level 2 Background check through AHCA. Additional information about this requirement can be found here: Florida Care Provider Background Screening Clearinghouse [https://info.flclearinghouse.com/]

Responsibilities

The role involves verifying insurance eligibility, obtaining authorizations, and managing benefits for inpatient and outpatient services. It also requires following up on authorization statuses and filing appeals with insurance companies.