Insurance Verification Specialist
About The Position
ED Admitting candidates will be cross trained in both areas Day-to-day Duties: Confirm patient insurance coverage, identify potential authorization needs for treatment, and collect patient demographics and medical information to ensure appropriate patient account reimbursement - Utilizing EPIC for patient intake and updating / verifying demographics - Authorizing patients for beds - Handle claims, request authorizations, and attach referrals - Identify services requiring authorization for treatment and referral information - Verify Patient Insurance and input correct options for pre-registration > HMO vs. PPO >Medicare, Medi-caid > Collect Co-pay and discuss shared costs / patient financial responsibility - Receiving calls from case managers from other ministries and/or healthcare facilities - Utilize knowledge of medical terminology - Work closely with physician offices/ministries - Deal with various department at remotes locations, may be supporting other locations - Customer Service: Make internal employees as well as patients comfortable over the phone and in-person
Requirements
- Customer service
- hospital facility
- 3+ years of healthcare experience, in HOSPITAL setting
- ambulatory care setting
Nice To Haves
- EPIC preferred
- Bilingual in Spanish is PLUS
Responsibilities
- Confirm patient insurance coverage
- Identify potential authorization needs for treatment
- Collect patient demographics and medical information to ensure appropriate patient account reimbursement
- Utilizing EPIC for patient intake and updating / verifying demographics
- Authorizing patients for beds
- Handle claims, request authorizations, and attach referrals
- Identify services requiring authorization for treatment and referral information
- Verify Patient Insurance and input correct options for pre-registration
- Collect Co-pay and discuss shared costs / patient financial responsibility
- Receiving calls from case managers from other ministries and/or healthcare facilities
- Utilize knowledge of medical terminology
- Work closely with physician offices/ministries
- Deal with various department at remotes locations, may be supporting other locations
- Make internal employees as well as patients comfortable over the phone and in-person
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
