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Insurance Representative

Role overview

Qualifications

  • Strong understanding of insurance verification processes
  • Excellent communication skills
  • Attention to detail
  • Ability to work in a team environment

Responsibilities

  • Gathers accurate patient demographic and insurance information on Inpatient/Outpatient registration
  • Distributes appropriate information to all departments
  • Monitors diagnostic tests ordered by physicians for Medical necessity according to government guidelines
  • Verifies patient’s insurance coverage/benefits and documents information in the AS400

About the company

Vitruvian logo

Vitruvian

Company details

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Job description

Who We Are

At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well‑being of every team member.


Our Legacy

Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region—including Hamilton Medical Center and Bradley Medical Center—you’ll have the opportunity to be part of something bigger: a connected, mission‑driven team making a difference every day.

 

Our Values

Our core values—Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)—guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission.


Your Career With Us

Join us and build a meaningful career where you’re valued, inspired, and supported to make a real impact.


Excellence. Every person. Every time.





Hours: 8:30AM - 5PM, Weekdays

JOB SUMMARY

The Insurance Representative is responsible for verifying all patient demographics and patient insurance benefits in order to inform patients of their estimated liabilities. Ensuring that the hospital is reimbursed for services.

General Responsibilities:

Gathers accurate patient demographic and insurance information on Inpatient/Outpatient registration.
Distributes appropriate information to all departments
Monitors diagnostic tests ordered by physicians for Medical necessity according to government guidelines.
Verifies patient’s insurance coverage/benefits and documents information in the AS400.
Notifies Supervisor of Self-pay patients and UR Department of Insurance coverage issues.
Ensures the pre-certifications and authorizations are obtained by physician offices when required. Notifies appropriate departments if not obtained.
Perform other duties as assigned according to departmental standards.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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