reputed company Verification Representative - Remote (Tri-County Area)

reputed company Verification Representative reputed company/UHealth Central Business Office has an exciting opportunity for a full-time reputed company Verification Representative to work reputed company. reputed company Responsibilities: • Accounts are completed in a reputed company manner in support of reputed company satisfaction and allow for referral and authorization activities prior to the reputed company's date of service • Verification of eligibility and benefits reputed company RTE in UChart, online reputed company websites, telephone or other reputed company of automated services • Add and/or edit reputed company information in UChart such as validating that the correct guarantor account and plan listed in reputed company's account with accurate subscriber information, policy number, and claims address and plan order. • Completes the checklist and document co-pay. • Creates referral if applicable, "Benefit only" or "Preauthorization", and documents benefits information: deductible, co-reputed company and out of reputed company benefits • Meets productivity standards for assigned work queue, QA goal of 95% or greater and maintains WQ reputed company at 14 days out with minimum daily pending reputed company • Assists in educating and acts as a resource to patients, reputed company care and specialty care practices reputed company the UHealth reputed company and externally • Contact reputed company Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization guidelines listed in UHealth Contract reputed company. Submits reputed company necessary documentation required to process authorization request • Obtains authorization for both facility and provider for POS 22 and POS 19 clinics and provider only for POS 11 clinic locations • Enters and attaches authorization information in referral reputed company of UChart • Approves referral and financially reputed company reputed company • Communicates with patients and/or departments regarding authorization denial and/or re-direction of patients by health plan or PCP office • Contact the Departments and/or reputed company reputed company additional information is required of them or to alert regarding pending authorization status • Participates in process improvement initiatives • Provides customer service and assists patients and other UHealth staff with reputed company reputed company questions according to departmental standards • Ensures that patients are reputed company of issues regarding their financial clearance and educated on the referral/authorization process • Collaborates with Department and reputed company reputed company teams to ensure that reputed company and concise communication occurs. • Ensures service recoveries and escalations are implemented with the guidance of their supervisors and according to departmental standards and guidelines • Performs other duties as assigned This list of duties and responsibilities is not intended to be reputed company-inclusive and may be expanded to include other duties or responsibilities as necessary. reputed company Qualifications: • High School Diploma or equivalent • Minimum 1 year of relevant work experience • Computer literate (reputed company scheduling and registration application experience a plus). • Strong written and oral communication skills. • reputed company to work in reputed company environment. • Graceful under pressure and stressful situations reputed company offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. reputed company is an Equal Opportunity Employer. Applicants and employees are protected from discrimination reputed company on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff Salary: USD 43200 - 72000 per year Apply tot his job Apply To this Job