Insurance Verification Specialist - Per Diem - Trinity Health Mid-Atlantic

Trinity Health

2d•Remote

About The Position

Trinity Health, Mid-Atlantic, is looking for an Insurance Verification Specialist to join our team! 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. 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, and preservice collections. Begins the overall patient experience and initiates 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
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, and preservice collections
Begins the overall patient experience and initiates the billing process for any services provided by the hospital.