Verifier

EMSA- Emergency Medical Services AuthorityTulsa, OK
Onsite

About The Position

This role is responsible for performing pre-verification for billing, obtaining and verifying patient demographics and insurance information, and ensuring accurate claim processing. The Verifier will also contact patients or representatives to obtain necessary information, process correspondence related to patient accounts, and document all interactions in the billing system. Maintaining productivity standards, staying updated on industry practices, and communicating effectively with team members are key aspects of this position. The role requires a professional demeanor, adherence to organizational policies, and a commitment to safety and integrity.

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.
  • 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.
  • Performs other job-related duties, functions, tasks and responsibilities as assigned, which may vary based on evolving organizational needs and priorities.
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