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Insurance Representative - FT - Days

BRADLEY MEDICAL CENTER LLC
Cleveland, TN Full Time
POSTED ON 3/27/2025
AVAILABLE BEFORE 5/27/2025

Hours: 8:30AM - 5PM

Days: Monday - Friday

JOB SUMMARY

The Insurance Representative is responsible for verifying all patient demographics and patient insurance benefits in order to inform patients of their estimated liabilities. Ensuring that the hospital is reimbursed for services.

General Responsibilities:

Gathers accurate patient demographic and insurance information on Inpatient/Outpatient registration.
Distributes appropriate information to all departments
Monitors diagnostic tests ordered by physicians for Medical necessity according to government guidelines.
Verifies patients insurance coverage/benefits and documents information in the AS400.
Notifies Supervisor of Self-pay patients and UR Department of Insurance coverage issues.
Ensures the pre-certifications and authorizations are obtained by physician offices when required. Notifies appropriate departments if not obtained.
Perform other duties as assigned according to departmental standards.

JOB QUALIFICAITONS

Education: High school graduate or GED preferred.. One or two years of college preferred.
Experience: One-year experience in a hospital setting with public contact work preferred. Knowledge of Medical Terminology preferred.

Full-Time Benefits

  • 403(b) Matching (Retirement)
  • Dental insurance
  • Employee assistance program (EAP)
  • Employee wellness program
  • Employer paid Life and AD&D insurance
  • Employer paid Short and Long-Term Disability
  • Flexible Spending Accounts
  • ICHRA for health insurance
  • Paid Annual Leave (Time off)
  • Vision insurance

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