Financial Verification Representative

Children's Wisconsin•West Allis, WI

2d•Remote

About The Position

Initiates contact with families to obtain necessary registration and insurance information. Pre-registers patients by calling patient families or by using the department protocol. Ensures that all patient accounts flow through the billing cycle without errors caused by lack of insurance verification, incomplete or inaccurate demographic information or other registration-related errors which may cause the receivable to remain unpaid.

Requirements

High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED)
1+ years of experience in registration, scheduling or administrative support experiences in a healthcare setting or a business/call center environment
Required EPIC experience
Excellent organizational, analytical and prioritizing skills necessary to work in a fast-paced environment with multiple tasks done simultaneously.
Analytical ability to determine the anticipated patient liability and ascertain need for financial counseling.
Excellent communication and interpersonal skills necessary to gather and share information with families and team members in a courteous, professional and confidential manner.
Ability to maintain positive communication skills during stressful situations.

Nice To Haves

Prior experience working with insurance and the managed care systems
Prior experience working in Windows environment

Responsibilities

Enters all registration and pre-registration information accurately and completely in the Epic system for Ambulatory Clinics, Dental Clinic, SA 11, and Inpatient/Outpatient Surgeries
Collects insurance information from families by phone or by criteria set by department
Collects and verifies demographic and insurance information online and over the phone with key customers including: patient families, physician offices, and insurance companies
Identifies Self-Pay patients to Financial Counselors based on CHW administrative guidelines and adheres to the Financial Clearance self-pay process as appropriate.
Utilizes Language Interpretation phone system for non-English speaking patients and families
Participates in quality improvement initiatives, training sessions, and department meetings.
Ensures confidentiality to our customers by creating and maintaining a secure environment in compliance with HIPAA
Adheres to all CHW and Patient Access policy, procedures and standards