ARMA Ins. Verification Rep 1 in Boone, North Carolina at Appalachian Regional Healthcare System

The Insurance Verification Representative 1 is responsible for verifying insurance coverage, benefits, and eligibility for patients receiving medical services at ARMA. This role involves interacting with insurance companies, patients, and healthcare providers to ensure accurate and timely processing of insurance information. Key Responsibilities:

• Verify insurance coverage and benefits for patients through electronic systems, phone calls, and other methods.
• Confirm patient eligibility for medical services and document information accurately.
• Identify and resolve discrepancies in insurance information promptly.
• Contact patients to obtain and verify insurance details and explain coverage information.
• Address patient inquiries and concerns related to insurance coverage and benefits.
• Maintain accurate and up-to-date records of insurance verification activities.
• Generate and distribute reports on insurance verification status and issues as needed.
• Work closely with healthcare providers to ensure that insurance information is communicated effectively.
• Assist providers with obtaining necessary pre-authorizations and referrals for patient services.
• Adhere to all regulatory and company policies regarding patient confidentiality and data security.
• Stay updated on changes in insurance policies, procedures, and regulations.

Compensation is commensurate upon education, experience, certification, and internal equity. Hiring compensation ranges from $15.75 based on experience.

Position Qualifications

• Completion of a high school diploma or GED

• Three to six months of experience in a medical office, clinic, or acute care site is preferred

• N/A

• Knowledge of and works within the scope of the admissions and scheduling representative.
• Ability to communicate courteously and effectively with the public, patients, family, staff, and physicians; acts within the chain of command, utilizing positive verbal and non-verbal skills.
• A clear understanding of computer processes, fax, phone, and scanning.
• Knowledge of compliance and attention to detail.
• Ability to demonstrate exceptional customer service to patients, family, staff, and physicians.

• Lifts, pushes, and pulls, up to 50 pounds
• Manual dexterity and mobility
• Prolonged, extensive or considerable sitting/standing/walking > 7 hours per day
• Bending, squatting, twisting, turning
• Near acuity: ability to see clearly at 20 inches or less

• Regularly exposed to the risk of bloodborne diseases
• Exposed to hazards from electrical/mechanical/power equipment
• Exposed to odorous chemicals and specimens
• Exposed to unpleasant elements (accident, injury, slippery surfaces uneven surfaces), etc.
• Handles emergency or crises
• Subject to irregular hours (days, evenings, nights, weekends, holidays)

About UNC Health Appalachian

UNC Health Appalachian, the leader for healthcare in the High Country, comprises three hospitals, 13 medical practices, Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation. UNC Health Appalachian stays committed to promoting health in the High Country, enhancing quality of life, and simply “making life better.“

About UNC Health

UNC Health is a state entity and an affiliated enterprise of the University of North Carolina system, comprised of 14 hospitals, 18 hospital campuses and more than 500 clinics along with the clinical patient care programs of the UNC School of Medicine (SOM). It exists to improve the health and well-being of North Carolinians and others we serve and to further the teaching mission of the University of North Carolina SOM. Over the past three years, UNC Health has provided more than $400 million in uncompensated or charity care to the citizens of North Carolina. Our hospitals have received numerous awards and recognition for quality care, patient safety and the overall patient experience. For more information, please visit unchealth.org.

UNC Health Appalachian embraces diversity and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status. We value a workforce that reflects a variety of backgrounds and perspectives, as it enhances our ability to provide outstanding care. We welcome and encourage applications from candidates of all backgrounds and experiences. UNC Health Appalachian is committed to providing a fair and inclusive hiring process and a workplace where all team members feel respected and empowered. If you require accommodations during the application process, please contact us.

Employment at UNC Health Appalachian is contingent upon successful completion of a background and drug screen.

For accommodations or additional information, contact recruitment@apprhs.org.