Customer Service Representative

Location: Richmond, Virginia
Date Posted: 09-12-2017
Position Title: Customer Service Representative
Location: Richmond, VA
Position Status: Contract to hire
Compensation: 10 hr.
  • Confirm that a patient’s health insurance(s) is active and covers the patient’s procedure; may be completed multiple times before, during, and after a patient’s visit/stay.
  • Confirm what benefits of a patient’s upcoming visit/stay are covered by the patient’s insurance(s) including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided.
  • Check benefits to determine deductible, coinsurance, and copayment amounts due. Use procedure estimate process/program to notify the patient in advance of the amount due.
  • Ensure payer requirements including the following are met:
  • Verify and document insurance eligibility; confirm and document benefits
  • Review of clinical documentation to ensure the treatment/services are appropriate for the diagnosis as determined
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