Verifier

EMSA- Emergency Medical Services Authority•Tulsa, OK

4h•Onsite

About The Position

This position is responsible for performing pre-verification for billing, obtaining and verifying all demographic and payer information for accuracy, and updating information as required for clean claim processing. The Verifier will also contact patients or their representatives to obtain accurate information for billing, obtain pre-authorization for non-emergency transports, and process correspondence related to patient accounts. Accurate documentation in the billing system is crucial, as is maintaining set quality and quantity productivity standards. The role requires staying knowledgeable of current industry standards and organizational practices, communicating with team members about trends and process improvement, and conducting oneself professionally in accordance with the organization's mission, vision, and values. Adherence to all organizational policies, safety standards, and the Code of Conduct is mandatory. Punctuality, reliability, and consistent attendance are essential, as is the ability to communicate effectively, maintain confidentiality, exercise sound judgment, be adaptable, and follow safety and compliance protocols. Other job-related duties may be assigned as needed.

Requirements

Minimum GED or High School Diploma
Minimum 2 years’ experience in a hospital or physician’s office entering and verifying patient demographics and insurance information.
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Excellent time management skills with attention to detail.
Ability to work independently and with a group and maintain good working relationships.
Must possess a valid driver’s license.
Must be able to successfully pass a background check and drug screen to the satisfaction of the organization.

Nice To Haves

Proficient with Microsoft Office Suite
Self-driven attitude with ability to meet organizational
Ability to work independently and with a group and maintain good working

Responsibilities

Perform pre-verification for billing utilizing the tools and systems of the organization.
Obtain and verify all demographic and payer information to be accurate, using appropriate sources and update as required for clean claim processing.
Contact patient, patient representatives, or other responsible parties to obtain accurate information for billing.
Obtain pre-authorization as needed for non-emergency transports.
Process and sort correspondence related to patient accounts accurately.
Appropriately document patient accounts in billing system to reflect accurate patient information, including updated demographic or insurance information.
Maintain set quality and quantity productivity standards.
Maintain knowledge of current industry standards and organizational practices and work in a manner that supports a patient centered, team focused, and fiscally responsible organization.
Communicate with other team members and leaders on identified trends and process improvement opportunities.
Conduct self in a professional manner that reflects the mission, vision, and values of EMSA.
Adhere to all organizational policies and work with the highest level of integrity.
Adhere to and enforce all safety standards and policies.
Performs other duties as assigned.
Punctuality and regular, predictable, reliable, consistent attendance is essential.
Professionalism, the ability to communicate effectively (verbally and in writing), maintaining confidentiality, exercising sound judgment, being adaptable and flexible, following safety and compliance protocols, being accountable, complying with the Code of Conduct, organizational policies, procedures, practices, and expectations, and performing the core duties of the position either with or without a reasonable accommodation.