Insurance Verification Specialist jobs in Chattanooga, TN

Insurance Verification Specialist is responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Being an Insurance Verification Specialist interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance. May require a bachelor's degree in area of specialty. Additionally, Insurance Verification Specialist typically reports to a supervisor or manager. To be an Insurance Verification Specialist typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)

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Insurance Verification Coordinator
  • Robert Half
  • Chattanooga, TN FULL_TIME
  • Job Qualifications
    Education
    o High School Diploma or equivalent
    Experience
    o 1 year - Customer service experience is required
    Skills\Certifications
    o Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
    o Proficient oral and written communication skills
    o Proficient interpersonal and organizational skills
    o Exceptional time management skills
    o Ability to work independently under general supervision and collaboratively as part of a team in a fast paced environment
    o Independent, Sound decision-making and problem-solving skills
    o If current employee with the company, must meet minimum performance expectations
    o Extensive knowledge of all aspects of Utilization Management, Care Management, and Behavioral Health.
    o Knowledge and understanding of Medical terminology
    o Solid knowledge and understanding of provider reimbursement methodologies, ICD-9-CM, CPT, HCPCS and UB-92 coding, UHDDS coding guidelines, AHA Coding Clinic
    o Ability to talk and type simultaneously in a clear and concise manner while interacting with customers

    Responsibilities:
    Job Profile Summary
    Supports customer service activities and initiatives for a number of products or clients including but not limited to the Case Management and Utilization Management departments.
    Job Description

    Job Responsibilities
    o Screen incoming calls and/or faxes or other digital format for UM and/or CM and direct calls/faxes/other digital requests to the appropriate area. Identify and refer cases appropriately to the Case Management and/or Transition of Care department.
    o Receiving, investigating and resolving customer inquiries and claims. Maintain departmental goals. Perform projects, review and handle reports as assigned.
    o Load complete organization determination/notification for services designed by internal policy. Clearly document and key data into the appropriate system using departmental guidelines.
    o Interact with membership, hospital and provider staff, advising of UM decision, status organization determinations, giving direction as necessary.
    o Search for and key appropriate diagnosis and /or procedure code as part of the notification /prior authorization process.
    o Must be able to pass required testing.
    o Participation and attendance are mandatory.
    o This position requires flexibility, due to rotations in schedules, and requires adherence to assigned schedules.
    o Work overtime as required

    Comments/Special Instructions
    Appeals and/or Grievance Preferred.
    Experience with Dual - SNP plans preferred.
  • 17 Days Ago

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Insurance Producer
  • RSS Insurance
  • Chattanooga, TN FULL_TIME
  • INSURANCE PRODUCERPRIMARY ROLE: Sell new business to ensure continued profitable growth according to specific goals. Prospect for new clients, sell additional coverages to existing clients, and retain...
  • 15 Days Ago

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Commercial Insurance Account Manager
  • TRM Insurance
  • Chattanooga, TN FULL_TIME
  • Experienced, Licensed Insurance Account Manager Excellent opportunity for a highly motivated individual with a minimum of three (3) years experience as a Commercial Lines Account Manager. TRM Insuranc...
  • 21 Days Ago

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Insurance Benefits/Referral Specialist (FT)
  • Tennessee Valley Bone and Joint
  • Cleveland, TN FULL_TIME
  • Billing Extraordinaire:Verify patient benefits with insurance carriers for the purpose of obtaining benefits and referrals prior to patient appointments. This position would be responsible for contact...
  • 22 Days Ago

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Insurance Agent
  • American Republic Insurance Services
  • Manchester, TN CONTRACTOR,FULL_TIME
  • Are you looking to work with a highly regarded insurance company that has been growing at a significant pace since its inception in 1929? Do you want to work for a company that has continually been ad...
  • 21 Days Ago

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Insurance CSR
  • LST Insurance Agency
  • Dalton, GA FULL_TIME
  • Looking for a Licensed Personal Lines CSR. Dalton, GA area. Send resume, references and salary requirements to hr@lstins.comJob Details:Answer phones, take payments, issue certificates, help customers...
  • Just Posted

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0 Insurance Verification Specialist jobs found in Chattanooga, TN area

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Special Procedure Technologist PRN
  • Parkridge Medical Center
  • Chattanooga, TN
  • Description Introduction Do you want to join an organization that invests in you as a(an) Spec Proc Tech PRN? At Parkrid...
  • 3/28/2024 12:00:00 AM

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Merchandiser Travel Retail Service
  • Acosta Group
  • Chattanooga, TN
  • **Merchandiser Travel Retail Service** **General Information** **Company:** ACO-US **Location:** CHATTANOOGA, Tennessee,...
  • 3/28/2024 12:00:00 AM

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CLERICAL SUPPORT II FT
  • GALEN MEDICAL GROUP PC
  • Chattanooga, TN
  • Job Details Job Location GI DOWNTOWN - Chattanooga, TN Position Type Full Time Education Level High School Job Shift Day...
  • 3/28/2024 12:00:00 AM

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Receiving Clerk
  • CommonSpirit Health
  • Chattanooga, TN
  • Overview: CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dig...
  • 3/28/2024 12:00:00 AM

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LPN Licensed Practical Nurse
  • Ascension Health
  • Chattanooga, TN
  • **Details** + **Department:** Home Care/Clinic + **Schedule:** Monday-Friday, 8:30 a.m.-5:00 p.m., No Holidays + **Facil...
  • 3/28/2024 12:00:00 AM

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Registrar
  • Catholic Health Initiatives
  • Chattanooga, TN
  • **Overview** CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and ...
  • 3/26/2024 12:00:00 AM

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Lead Certified Tumor Registrar
  • CommonSpirit Health
  • Chattanooga, TN
  • Overview: CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dig...
  • 3/25/2024 12:00:00 AM

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Medical Technologist
  • Parkridge Medical Center
  • Chattanooga, TN
  • Description Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your applic...
  • 3/25/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 144.6 square miles (374.4 km2), of which 137.1 square miles (355.2 km2) are land and 7.4 square miles (19.2 km2), or 5.12%, are water. The most prominent natural features in and around Chattanooga are the Tennessee River and the surrounding mountains. The city is nestled between the southwestern Ridge-and-valley Appalachians and the foot of Walden's Ridge; the river separates the ridge from the western side of downtown. Several miles east, the city is bisected by Missionary Ridge. The Tennessee River is impounded by th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Insurance Verification Specialist jobs
$33,407 to $42,088
Chattanooga, Tennessee area prices
were up 1.3% from a year ago

Insurance Verification Specialist in Saint Louis, MO
The section work experience is an essential part of your insurance verification specialist resume.
December 01, 2019
Insurance Verification Specialist in Laramie, WY
Wide experience with all public and private health insurance practices and policies.
February 04, 2020
Insurance Verification Specialist in Mobile, AL
Key skills listed on a resume include – insurance claims expertise, experience working with insurance companies; extensive knowledge of different types of coverage and policies, excellent multitasking skills, and the ability to maintain accurate patient insurance records.
January 20, 2020