Visit Eligibility Validation Coordinator, Nucleus Building, 8:00a-4:30p

UofL Health•Louisville, KY

1d•Onsite

About The Position

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists, and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Job Description: Medical insurance verification of patient accounts to determine eligibility, benefits and co-pays due and ability to analyze patient accounts for outstanding balances as well. Pre work GECB hold bill alerts and update visit insurance. Must be detail oriented and possess strong communication and interpersonal skills with the ability to multi-task.

Requirements

High school diploma or GED/Equivalent (required)
Understanding of insurance policies and processes
Ability to utilize insurance websites proficiently
Ability to anticipate and adapt to change positively
Must possess solid customer service skills
Strong interpersonal and communication skills- responsive, informs constituents of process, pleasant to work with, educates and provides timely, accurate information; can build effective, strong working relationships others through trust, communication, and credibility
Demonstrated organizational skills – manages time effectively, keeps tasks appropriately prioritized with the ability to change directions as needed for the good of the department or organization
Strong work ethic– motivated, diligent, industrious and persistent in the workplace, stays on tasks to completion, works at a fast pace to ensure optimal efficiency; is able to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalism
Proven ability to work on a team – ability to work with others, serve others, help others, lead others, mentor others, take directions from others in the interest of moving process and programs forward to the desired outcome; able to see the big picture in emotionally charged situations and respond in a mature, professional, composed manner
Maintains a professional appearance at all times
Must be able to communicate effectively in both verbal and written formats
Strong investigative and problem solving skills
Ability to break down problems or tasks; scanning one’s own knowledge and experience to identify causes and consequences of events
Proficient in Microsoft Office
Extensive knowledge of Centricity

Nice To Haves

Five (5) years of insurance experience (preferred)

Responsibilities

Verifies patient eligibility six days out from appointment
Determines patient’s benefits including deductibles, co-insurance and co-pay amounts
Verifies if authorizations are required and obtain, if necessary
Verifies benefits
Calls patients prior to appointment if there is a problem with patient’s insurance
Works with patients to pay balances on account or create payment plan for balances due
Works hold bill and marked event alerts
Determines what is needed for the upcoming visit ex; consent, arrival form, ID, insurance card, picture, etc.
Works visit insurance and arrange FSC accordingly
Maintains compliance with all company policies, procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned
Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
Maintains confidentiality and protects sensitive data at all times
Adheres to organizational and department specific safety standards and guidelines
Works collaboratively and supports efforts of team members
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community