Authorization and Verification Rep

Trinity Health • Boise, ID

1d • Onsite

About The Position

Our Authorization and Verification Representatives are responsible for efficient, accurate, and timely verification of insurance coverage as well as obtaining authorization for Outpatient Therapy services. They assist Coordinators as needed with staff training, and serve as a mentor and resource to staff within the company. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation, comprising 121,000 colleagues and nearly 36,500 physicians and clinicians. The system cares for diverse communities across 27 states, including 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and various other health and well-being services. In fiscal year 2023, Trinity Health invested $1.5 billion in its communities through charity care and other community benefit programs. The organization is committed to honoring the dignity of every person, recognizing unique perspectives, experiences, and talents, and fostering a stronger, more compassionate, person-centered care environment.

Requirements

• Must be able to utilize calculator, phones, fax machine and copier.
• Demonstrate good written and oral communication skills.

Nice To Haves

• Basic computer skills with an emphasis on Word, Excel, Outlook, Therapy Source and Medical Manager
• Experience with EPIC
• Previous work experience in health care business office

Responsibilities

• Meets medical center’s Customer Services Standards including interpersonal communication and professional conduct expectations.
• Analyzes accounts for accuracy.
• Accurately documents information from insurance companies/sureties for benefits and eligibility.
• Obtains authorization from insurance companies, documents results, and notifies appropriate staff.
• Answer incoming calls from customers/employees.
• Researches and resolves patient complaints and concerns.
• Follows up with insurance companies for problem resolution.
• Responsible for timely completion of eLearning as assigned by RMA and/or contracting hospitals.
• Assist Coordinators as needed with staff training, and serve as a mentor and resource to staff within the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees