At Vitruvian Health, we serve with compassion. As northwest Georgia and southeast Tennessee’s leading healthcare system, we are committed not only to the health of our communities, but also to the growth, support, and success of our team members.
Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day.
Our core values, Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE), guide everything we do. We believe in empowering our people, celebrating differences, and delivering care that reflects the heart of our mission.
Join us and build a meaningful career where you’re valued, inspired, and supported to make a real impact.
Excellence. Every person. Every time.
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.
Skills Required
- Gather accurate patient demographic and insurance information for inpatient/outpatient registration
- Verify patient's insurance coverage and benefits
- Document insurance and demographic information in the AS400 system
- Monitor diagnostic tests for medical necessity according to government guidelines
- Ensure pre-certifications and authorizations are obtained and notify departments if missing
- Notify Supervisor of self-pay patients and Utilization Review (UR) Department of coverage issues
What We Do
Vitruvian Health is a comprehensive, nonprofit healthcare system serving northwest Georgia and southeast Tennessee. Formerly Hamilton Health Care System, it operates Hamilton Medical Center, Bradley Medical Center, and more than 80 regional access points. The system provides integrated care ranging from primary and specialty services to urgent needs, advanced medical interventions, and personalized treatments, while working to improve community health.
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