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Position Summary
The Insurance Verifier oversees all admissions and confirms proper verification of patient’s coverage. Reviews all inpatient admissions to verify and re-verify plans, ensures plan codes are correct, and appropriately documents in systems.
Required Qualifications
- One year of admitting/registration office experience
- High School Diploma or GED
- Basic Understanding of Medical Terminology
- Excellent written and verbal communication skills in English
- Strong time management skills
- Ability to multitask and maintain a work pace appropriate to workload
- Computer literacy and proficiency
- Must demonstrate customer service skills appropriate to the job
Preferred Qualifications
- Bachelors Degree • Bilingual skills to communicate effectively with patients and families
Physical Requirements
These are requirements normally expected to perform regular job duties. Reasonable accommodations may be made in compliance with the Americans with Disabilities Act of 1990, and applicable, state and local law, to enable individuals with disabilities to perform the essential functions. Incumbent must be able to successfully perform all of the essential functions of the job with or without reasonable accommodation.
- Standing - Frequently
- Walking - Frequently
- Sitting - Frequently
- Reaching with Hands and Arms - Frequently
- Climb or Balance - Occasionally
- Stooping, Kneeling, Crouching, or Crawling - Occasionally
- Talking - Constantly
- Hearing - Constantly
- Seeing - Constantly
- Performing repetitive motions with arms or hands - Frequently
- Lifting, carrying, pushing or pulling up to 10 lbs - Occasionally
- Lifting, carrying, pushing or pulling up to 25 lbs - Occasionally
- Lifting, carrying, pushing or pulling up to 50 lbs - None
- Lifting, carrying, pushing, or pulling greater than 50 lbs - None
- Driving - None
Essential Job Functions / Major Areas of Responsibility
The essential functions below are not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.
- Reviews all inpatient and outpatient admissions, including daily Managed Care report from the previous day, to ensure insurance verifications are accurate and complete. Contacts the insurance carrier to verify eligibility for the billing department. Ensures health plans are contacted in an appropriate and timely manner when pre-certification is required.
- Enters insurance verification information into Optimum and All Scripts. Ensures all insurance information is current and accurate. Re-verifies all insurance information on the 2nd and 16th of each month. Appropriately notifies leadership and case management of any changes in coverage. Contacts contracted vendor to screen patient for insurance coverage.
- Reviews the daily Bill Hold Report for any accounts which do not have verification completed, appropriately completes verification, and enters initials to document/verify completion.
- Maintains confidentiality with regard to patients, families, employees, and visitors.
Pay Rate: Min - $21.10 l Max - $29.00
Job Listing ID:Â 1841905
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