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Insurance Verification Associate Jobs in Louisiana

Ohio Health

Case Manager Extender

Bossier City, LA · On-site

Primary responsibilities include but are not limited to: insurance verification, obtaining pre ... Answers multi line phone system, screens calls for office/hospital associates, directing to ...

New

Confluent Health

Clinic Business Associate

Gonzales, LA · On-site

$17 - $18/hr

Manage front desk operations including patient check-in, check-out, scheduling, insurance verification/authorization, and phone calls * Review, schedule, and follow up on incoming referrals by ...

Baptistfirst

Experience in registration, insurance verification, authorization workflows, or denial prevention ... Certified Healthcare Access Associate (CHAA), Certified Healthcare Access Manager (CHAM), or ...

Confluent Health

Clinic Business Associate

Gonzales, LA · On-site

$17 - $18/hr

Manage front desk operations including patient check-in, check-out, scheduling, insurance verification/authorization, and phone calls * Review, schedule, and follow up on incoming referrals by ...

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Insurance Verification Associate information

What does an insurance verification associate do?

An Insurance Verification Associate is responsible for confirming a patient's insurance coverage and benefits before medical services are provided. Their tasks include contacting insurance companies, verifying policy details, determining coverage limits, and ensuring that procedures are authorized. This role helps prevent billing issues and ensures that patients and providers understand what costs will be covered. Insurance Verification Associates play a crucial part in the healthcare revenue cycle by reducing claim denials and improving the patient experience.

What are some common challenges faced by insurance verification associates, and how can they be overcome?

Insurance Verification Associates often encounter challenges such as navigating complex insurance policies, handling discrepancies in patient information, and managing high call volumes with insurance companies. To overcome these, associates should develop strong attention to detail, effective communication skills, and proficiency with insurance databases and electronic health record systems. Staying organized and keeping up-to-date with insurance policy changes also helps ensure accurate and timely verification, which ultimately supports smooth patient billing and care processes.

What are the key skills and qualifications needed to thrive as an insurance verification associate, and why are they important?

To thrive as an Insurance Verification Associate, you need strong attention to detail, knowledge of insurance policies and procedures, and typically a high school diploma or equivalent. Familiarity with insurance verification software, electronic health records (EHR) systems, and claims management tools is highly valuable. Excellent communication, problem-solving skills, and the ability to handle confidential information with discretion set top performers apart. These skills ensure accurate processing of patient insurance information, minimize billing errors, and support timely reimbursement for healthcare services.

What is the difference between Insurance Verification Associate vs Medical Billing Specialist?

AspectInsurance Verification AssociateMedical Billing Specialist
Primary RoleVerify patient insurance coverage and benefits before servicesProcess and submit medical claims for reimbursement
CredentialsHigh school diploma or equivalent; certifications like Certified Medical Administrative Assistant (CMAA) are commonHigh school diploma; certifications like Certified Professional Biller (CPB) are common
Work EnvironmentHealthcare offices, hospitals, clinicsMedical offices, billing companies, healthcare facilities
Industry UsageUsed across healthcare providers to ensure insurance coverageUsed to handle claims processing and reimbursement

The Insurance Verification Associate focuses on confirming patient insurance details to ensure coverage before treatment, while the Medical Billing Specialist handles the claims process for reimbursement. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ in the patient verification versus billing process.

What are the most commonly searched types of Insurance Verification jobs in Louisiana?

The most popular types of Insurance Verification jobs in Louisiana are:

What are popular job titles related to Insurance Verification Associate jobs in Louisiana?

For Insurance Verification Associate jobs in Louisiana, the most frequently searched job titles are:

What job categories do people searching Insurance Verification Associate jobs in Louisiana look for?

The top searched job categories for Insurance Verification Associate jobs in Louisiana are:

What cities in Louisiana are hiring for Insurance Verification Associate jobs?

Cities in Louisiana with the most Insurance Verification Associate job openings:

Insurance Verification Associate jobs near you

Case Manager Extender

Ohio Health

Bossier City, LA • On-site

Full-time

Posted 2 days ago

New

OhioHealth rating

7.0

Company rating: 7.0 out of 10

Based on 341 frontline employees who took The Breakroom Quiz

416th of 893 rated healthcare providers

Job description

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.

Job Description Summary:

The Case Manager extender works collaboratively with all interdisciplinary staff internal to OhioHealth and also external organizations to achieve timely, cost efficient and effective management of patient care. Primary responsibilities include but are not limited to: insurance verification, obtaining pre-authorization and data entry of patient information, triaging phone calls, and directing calls appropriately, status changes, entering initial and correcting inpatient room and bed charges and performing charge reconciliation. The case manager extender is well organized, highly motivated, customer service oriented and expresses good communication skills.

Responsibilities And Duties:

60%
ASSURING APPROPRIATE PAYER AUTHORIZATION AND/OR PAYER REQUIREMENTS ARE IN PLACE FOR HOSPITAL PAYMENT. 1. Responsible for insurance verification. When necessary, obtains pre-authorization from insurance companies. Interacts with physician offices and other third parties to obtain all necessary paperwork. 2. Triage incoming calls within the phone processing benchmarks. Answers multi line phone system, screens calls for office/hospital associates, directing to appropriate office/hospital associate, and ensures appropriate phone coverage. 3. Communicate and document accurate and appropriate information to internal and external customers. Communicates with third party payers and sends appropriate clinical information for authorization of hospital stay. 4. Perform authorization data entry and coordination of services through proactive collaboration and communications with utilization management and care coordination team. 5. Monitor commercial payers accounts, to include but not limited to: attachment of requested dictation to claims, addition of diagnosis allowances and authorization numbers 6. Refer utilization management/clinical decisions beyond level of authority to care coordination/UM team and Manager/Director of UM team for review and decision. 7. Provides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing dictation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 8. Researching, obtaining and completing required documents for the team. 9. Coordinating ancillary services according to policies 10. Facilitate communication between community agencies, care coordination and utilization management team. 1 1. Facilitates transfers of patients to alternative facilities 12. Attends staff meetings 13. Attends continuing in-house education seminars for further education as needed
30%
PATIENT STATUS AND CHARGE RECONCILIATION 1. Responsibility for updating/correcting patient status for appropriate claim drop. 2. Perform charge entry to match appropriate patient status. 3. Review the charge reconciliation report daily to ensure that all room and bed charges are entered correctly on a patient. 4. Work in conjunction with the clinical, revenue and observation billers to correct or adjust any claims as directed by payer discussions.
10%
ORGANIZATIONAL/OFFICE RESPONSIBILITIES 1. Sorts, distributes, and mails transcription as assigned 2. Orders and stocks office supplies. 3. Ensure office equipment, are clean and well-maintained. 4. Provides support to appropriate staff members as assigned
As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.
The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time

Minimum Qualifications:

High School or GED (Required)

Additional Job Description:

Associates degree, or three to five years related Experience and/or training, or equivalent combination of and Experience . Computer competency in Microsoft Word, Excel, and Outlook, with a strong aptitude to learn other programs as needed. Ability to manage multiple priorities.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

UM Care Coord-Southwest Hub

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

What OhioHealth employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About OhioHealth

Sourced by ZipRecruiter

OhioHealth is a not-for-profit, faith-based health system based in Columbus, Ohio, US. Operating since 1981, it is one of the largest and most comprehensive health systems in its area of operation. OhioHealth's business is grounded at the union of the healthcare and medical industry. The organization provides a full range of healthcare services from acute hospital care to rehabilitative and long-term care, including medical research and development.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

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