Insurance Verification Specialist-Part Time

Trinity Health

1d • Hybrid

About The Position

The Insurance Verification Specialist will be responsible for ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region, which includes Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington, and St. Mary Medical Center Langhorne. This role involves handling complex, high-dollar services such as surgical, observation, and in-house services, working across multiple verification areas including outpatient verification, elective short procedure/inpatient verification, and urgent admission verification or scheduling. The specialist will obtain and verify accurate insurance information, validate benefits, secure authorization, and manage preservice collections, thereby initiating the overall patient experience and the billing process for any services provided by the hospital.

Requirements

• High School Diploma or equivalent
• Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access
• National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire
• Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems

Nice To Haves

• Associates Degree, preferred
• Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting
• Experience in complex facility based ancillary testing across multiple facilities/states
• Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures

Responsibilities

• Ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region
• Responsible for complex, high-dollar services including surgical, observation and in-house services
• Working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling
• Obtains and verifies accurate insurance information
• Benefit validation
• Authorization
• Preservice collections
• Begins the overall patient experience and initiates the billing process for any services provided by the hospital

Benefits

• Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from the first day of employment
• Work/Life balance with flexible schedules
• Free onsite parking
• Referral Rewards Program

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees