Pre-Verification Specialist - Corporate Headquarters

Staff Careers•Green Bay, WI

4d•Onsite

About The Position

BayCare Clinic is looking for a Pre-Verification Specialist to join their team in Green Bay, WI. This position will be at their Corporate Headquarters location. The ideal candidate is compassionate, thoughtful, and wants to contribute to a positive experience for all patients. The typical hours for this role are Monday-Friday from 8:00 a.m. - 5:00 p.m. No Holidays! No Weekends! BayCare Clinic is a successful, dynamic group comprised of 20+ specialties. They are a physician-owned entity with joint ownership in Aurora BayCare Medical Center, a 167-bed hospital located in Green Bay, WI, offering a built-in referral base. Each specialty practice has clinical autonomy and is financially sound. BayCare Clinic offers part-time and full-time employees a comprehensive benefits package including health, dental, disability and life insurance, as well as flexible spending options. They also offer a 401k retirement plan with a company match, generous PTO, and paid holidays. The unique skills and talents of each member of the team contribute to synergy and the overall goal of providing patients with excellent care. They believe in the power of a positive, collaborative culture, and strive to provide a supportive and energizing work environment. Every member of the team has a voice and is trusted to have ownership over their work. To encourage this, they provide regular opportunities for professional development, seek out feedback and ideas, and invite participation on a variety of projects.

Requirements

AAS in Health Care Business or combination of education and experience preferred.
Typically requires two years' experience with patients and providers in clinic, hospital or health insurance setting.
Knowledge of medical terminology and the insurance verification process required.
Excellent organizational, interpersonal and communication skills are necessary.
Strong computer skills required.

Nice To Haves

Epic Experience is a plus.
Experience with Insurance Authorizations is a plus.

Responsibilities

Using appropriate methods, obtains prior authorizations for diagnostic studies, procedures, surgeries, and testing as required by each particular insurance company including Worker’s Compensation.
Verifies patient status through use of websites and phone calls to insurance carriers as necessary.
Reviews specific coverage policies for individual insurance companies to ensure that requirements are met.
Updates patient-specific insurance information as necessary in appropriate systems.
Assists clinic staff and patients who have miscellaneous insurance information questions.
Documents appropriate and accurate information in electronic record systems.
Documents prior authorizations in electronic record.
Respects and maintains confidentiality.
Works in a safe, compliant and ethical manner at all times.