Insurance Verification Rep- Admitting (Full-Time, Temporary, Days)

Enloe Health

73d • $21 - $29

About The Position

The Insurance Verification Rep is responsible for demonstrating and maintaining a higher level of knowledge and expertise in relation to all areas of insurance plans and selection. Insurance Verification Representative is to be an expert in verification of validity of effective insurance coverage, the necessity of authorization and obtaining of benefit details on appropriate/assigned account types for incoming and in-house patients. Insurance Verification Representative is responsible for timely reporting to insurance carriers of appropriate admissions and ensuring authorization is obtained by referring physician on all inpatient and outpatient accounts requiring referrals, authorizations or other pertinent documentation; ultimately ensuring reimbursement for services rendered at Enloe Medical Center for inpatient, observation, surgical and ‘high dollar’ accounts. The Insurance Verification Representative is responsible for maintaining high level of knowledge of Patient Access activities and is to be a resource to their team and to members of the Medical Center and provider office staff, to facilitate efficient operations, expeditious reimbursement and optimal consumer satisfaction and to promote teamwork. Is also responsible for identifying and correcting insurance selection errors to ensure accounts are clean billable accounts. The Insurance Verification Representative must be willing to work on Holidays, as scheduled, when insurance companies are open so as to meet requirements in timely reporting of admissions. Insurance Verification Representative must work efficiently and in keeping with established procedures to ensure accounts are appropriately referred to the Financial Counselor in a timely manner so as to ensure the patient is aware of their financial responsibility well in advance of scheduled services. The Insurance Verification Representative is responsible to consistently demonstrate the core values of Enloe Medical Center. The Insurance Verification Representative is responsible to perform their duties in accordance with regulatory compliance requirements and the Medical Center’s Code of Conduct.

Requirements

• Competency as a Patient Access Representative II at Enloe Medical Center OR one year hospital or physician office Insurance Verification experience.
• Knowledge of ICD 9/10 Coding and CPT Codes.
• Previous Insurance Verification experience in a hospital setting.
• Basic Medical Terminology.

Responsibilities

• Demonstrate and maintain a higher level of knowledge and expertise in relation to all areas of insurance plans and selection.
• Verify validity of effective insurance coverage and necessity of authorization.
• Obtain benefit details on appropriate/assigned account types for incoming and in-house patients.
• Report to insurance carriers of appropriate admissions in a timely manner.
• Ensure authorization is obtained by referring physician on all inpatient and outpatient accounts requiring referrals.
• Maintain high level of knowledge of Patient Access activities.
• Identify and correct insurance selection errors to ensure accounts are clean billable accounts.
• Work on Holidays as scheduled when insurance companies are open.
• Refer accounts to the Financial Counselor in a timely manner.
• Demonstrate the core values of Enloe Medical Center.
• Perform duties in accordance with regulatory compliance requirements and the Medical Center’s Code of Conduct.

Benefits

• $0 premium medical plan to include vision insurance.
• Prescription and dental group insurance.
• Retirement with employer match.
• Generous paid time off (PTO) plan that starts accruing immediately.
• Extended Sick Leave.
• Flexible Spending Accounts for unreimbursed medical expenses and dependent care.
• Employee Assistance Program.
• Educational Assistance.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees