Insurance Verification Representative
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A variety of soft skills and experience may be required for the following role Please ensure you check the overview below carefully.

Atlanta Center for Reproductive Medicine (ACRM) specializes in the treatment of infertility and other reproductive endocrinology disorders. As one of the largest centers in the metropolitan area treating infertility, for 25 years ACRM has provided care in Advanced Reproductive Technologies (ART), including in-vitro fertilization (IVF), pre-genetic diagnosis (PGD), and egg recipiency. Find out more about our center by visiting

ACRM is looking for a full-time Insurance Verification Representative to join our growing team. This position is an integral part of our team and vital to helping us create a smooth and personal experience for each of our patients. The ideal candidate will demonstrate they are able to contribute to, engage, and work well in a close-knit team atmosphere. Every member of our staff plays a critical role in care operations and therefore must be able to assume ownership of their responsibilities. Applicant must be mature, self-directed, well organized, thorough, well spoken, and a quick learner. We're looking for someone with a warm, calm personality that presents professionally to our patients.

This position is located at our main office in Sandy Springs. The hours are Monday – Friday from approximately 7:30am – 4:00pm with a 30-minute lunch.

Position Overview

The Insurance Verification Representative is responsible for ensuring that insurance information is obtained for all patients on a timely basis. Ensures that all necessary insurance information is in the office in advance of a patient's appointment. The successful incumbent must be well-organized with excellent communication skills, excellent customer service skills, and a strong ability to be an effective team member.

ACRM offers competitive compensation and benefits to include Medical, Dental, Vision, Life, 401k Profit Sharing Plan and Paid Time Off.

Key Responsibilities

Obtains patient insurance information prior to the first appointment to allow for insurance to be verified and updated in Nextgen and Resource at least 24 hours in advance of the patient's appointment.

Performs “emergency” insurance verifications for patients currently in the office who present new insurance information at check-in.

Generates the Insurance Report from Memorized Reports on a daily basis.

Enters alerts when there is primary and secondary coverage. Files insurance claims for visits that were not filed when the patient was in the office.

Contacts insurance companies to verify insurance coverage and/or to re-verify insurance coverage with discrepancies that are found.

Contacts patient to confirm insurance and/or demographic information submitted when information submitted does not agree with insurance company's information.

Attaches effective insurance policies to patient's chart in NextGen.

Adds insurance policy information and summary of benefits to patient details in RESource.

Activates applicable alarm in RESource to alert clinical staff of clinical plan requirements.

Expires termed policies in both NextGen and RESource when applicable.

Requirements

Associates Degree preferred.

Minimum 1-2 years of experience in a healthcare setting.

Excellent attendance and punctuality commitment.

Must have knowledge of insurance billing and payment cycle/process.

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