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Health Insurance Verification Rep Part Time Days

Remote, USA Full-time Posted 2025-11-24
About the position Join Parallon as a Health Insurance Verification Rep, a role that allows you to work from home in North Carolina. This position involves a schedule of Monday to Friday from 8 am to 12 pm, with 85% of the work conducted over the phone. You will be part of a team dedicated to community service, having contributed over 156,000 hours of volunteering last year. Your responsibilities will include pre-registration, insurance verification, pre-certification, and insurance notification, ensuring timely and accurate processes for both inpatient and outpatient services. Responsibilities • Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services. • Follow scripted benefits verification pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information. • Perform electronic insurance eligibility confirmation when applicable and document results. • Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system (i.e., OnBase). • Calculate patient cost share and be prepared to collect via phone or make payment arrangements. • Contact patient via phone to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment. • Receive and record payments from patient services scheduled. • Utilize appropriate communication system to facilitate communication with hospital gatekeeper. • Contact physician to resolve issues regarding prior authorization or referral forms. • Perform insurance verification and pre-certification follow up for prior day's walk-in admissions/registrations and account status changes by assigned facility. Requirements • High school diploma or GED preferred. • 1 year of related experience required. Nice-to-haves • Cerner System Experience is a Plus. Benefits • Comprehensive medical coverage with low copay options. • Dental and vision benefits, life and disability coverage. • Flexible spending accounts and supplemental health protection plans. • 401(k) Plan with a 100% match on 3% to 9% of pay. • Employee Stock Purchase Plan with 10% off HCA Healthcare stock. • Family support through fertility and family building benefits. • Referral services for child, elder, and pet care. • Consumer discounts through Abenity. • Education assistance including tuition and certification support. • Colleague recognition program. • Time Away From Work Program including paid time off and family leave. • Employee Health Assistance Fund offering free employee-only coverage. Apply tot his job Apply To this Job

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