Insurance Verification Rep - Capitation PT Days

Clerical 85303 - Capitation Part-Time Days 8 Hour 800am


Description

Under direct supervision, Insurance Verification Rep performs tasks related to checking eligibility and verifying benefits. Checks eligibility on all prior day admits with focus on Capitated Full Risk insurances.

Core Competencies

  • Enters co-pay information into Cerner prior to receipt of final bill.
  • Verifies insurance eligibility and authorization.
  • Maintains working knowledge of all sponsored programs such as Medicare, Medi-Cal, Tricare and other third party payers.
  • Verifies 100 or more accounts per day.
  • Updates Cerner computer system with corrected insurance and/or patient information

Department Specific Competencies

Education

DegreeProgram
High School Diploma/GED or Higher EducationN/A
Additional Information

Experience

Number of Years ExperienceType of Experience
N/A
Additional Information
One year experience in medical office or hospital with basic knowledge of Insurance Billing.

License / Certification Requirements