Authorization and Verification Rep
- IA_MOCEN01 Catholic Health Initiatives - Iowa Corp
- Saint Alphonsus Regional Medical Center - Boise, Idaho
- 2w ago
- Full-Time
- On-site
Our Authorization and Verification Representatives are responsible for efficient, accurate, and timely verification of insurance coverage as well as obtaining authorization for Outpatient Therapy services. They assist Coordinators as needed with staff training, and serve as a mentor and resource to staff within the company.
SKILLS, KNOWLEDGE, EDUCATION and EXPERIENCE
Basic computer skills with an emphasis on Word, Excel, Outlook, Therapy Source and Medical Manager, preferred.
Must be able to utilize calculator, phones, fax machine and copier.
Demonstrate good written and oral communication skills.
Experience with EPIC preferred.
Previous work experience in health care business office preferred
ESSENTIAL FUNCTIONS
Meets medical center’s Customer Services Standards including interpersonal communication and professional conduct expectations.
Analyzes accounts for accuracy.
Accurately documents information from insurance companies/sureties for benefits and eligibility.
Obtains authorization from insurance companies, documents results, and notifies appropriate staff.
Answer incoming calls from customers/employees.
Researches and resolves patient complaints and concerns.
Follows up with insurance companies for problem resolution.
Responsible for timely completion of eLearning as assigned by RMA and/or contracting hospitals.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.