Insurance Verification Representative
About The Position
The Insurance Verification Representative at Mirmont Treatment Center confirms financial and insurance information gathered during registration to determine whether State, Federal, and third-party precertification requirements for payment are met. The role completes insurance verification, benefits and eligibility checks, and precertification for hospital admissions, while documenting information accurately in Epic. It also performs complex insurance verification and eligibility determinations, including investigative and problem-solving work, to minimize financial risk and support optimal reimbursement.
Requirements
- Working knowledge of Medicare, Medicaid, commercial, and managed care rules and regulations.
- Familiarity with medical terminology.
- At least two years of recent work experience in patient registration or a financial counseling department.
- Working knowledge of patient management and patient accounting computer systems.
- High school diploma or GED.
Responsibilities
- Confirm financial and insurance information obtained during registration.
- Determine whether State, Federal, and third-party precertification requirements for payment are met.
- Complete insurance verification, benefits and eligibility checks, and precertification for hospital admissions.
- Document information accurately in Epic.
- Perform complex insurance verification and eligibility determinations, including investigative and problem-solving activities, to minimize financial risk and support optimal reimbursement.
Benefits
- Up to 120 hours of paid time off per year, based on full- or part-time status.
- Employee discounts on various activities, services, and vendors.
- Free employee parking.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
