Insurance Verifier

Children's Healthcare of Atlanta • GA

80d

About The Position

Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s.

Requirements

• At least one year of insurance verification experience
• High school diploma or equivalent
• Working knowledge of basic medical terminology
• Demonstrated ability to multitask and problem-solve
• Ability to work independently in a changing environment and handle stressful situations
• Must be able to speak and write in a clear and concise manner to convey messages.
• Proficient in Microsoft Word/Excel/Outlook

Nice To Haves

• Bachelor's degree
• Experience in a pediatric hospital

Responsibilities

• Conducts in depth account review including but not limited to, denial management, clinical follow up, and acts as a liaison between clinical stakeholders and payor representation.
• Interviews patients and/or family members to secure insurance coverage, eligibility, and qualification for various financial programs.
• Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and efficient manner.
• Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process.
• Confirms referring physician and/or servicing physician has obtained notification/confirmation of prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area.
• Contacts referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/partial authorizations.
• Acts as liaison between clinical staff, patients, referring physician’s office, and insurance by informing patients and families of any possible changes, updates, responses or follow up.
• Monitors patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems.
• Pre-screens doctor’s orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment.
• Collaborates with Patient Financial Services (PFS) department to provide all related information regarding denied claims.
• Monitors insurance authorization issues to identify trends and participates in process improvement initiatives.
• Responds to all inquiries related to authorization/pre-certification issues.
• Develops and maintains knowledge in medical terminology, billing and insurance guidelines to ensure Children’s remains compliant with all regulatory expectations.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees