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Insurance Verifier
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Full-time
- Collaborates with Appeals department to overturn claims denied as well as Managed Care department in contract negotiations.
- May initiate and perform revenue cycle activities required for pre-registration.
- Completion of an externship approved by Children's or one year of experience in insurance verification or an assigned clinical discipline
- Proficient in Microsoft Word/Excel/Outlook, SMS, Epic, CSC Papers, scheduling systems (e.g., NueMD, RIS, SIS), IMS Web, Report Web, and insurance websites (e.g., BCBS, RADMD, WebMD, Wellcare, Amerigroup, UHC)
- Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process.
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