Insurance Verification Specialist-Per Diem

About the position The Insurance Verification Specialist will be responsible for ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region which includes, Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne. Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling. Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections. Begins the overall patient experience and initiates the billing process for any services provided by the hospital.

Responsibilities

• Ensuring all pre-service accounts are financially cleared prior to the date of service
• Working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling.
• Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections.
• Begins the overall patient experience and initiates the billing process for any services provided by the hospital.

Requirements

• High School Diploma or equivalent.
• Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.
• National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
• Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.

Nice-to-haves

• Associates Degree, preferred.
• Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting.
• Experience in complex facility based ancillary testing across multiple facilities/states.
• Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.

Benefits

• Work/Life balance with flexible schedules.
• Free onsite parking.
• Referral Rewards Program

Apply tot his job Apply To this Job