Insurance Verifier
Description:
• Overview: The Insurance Verifier position is responsible for obtaining and recording eligibility and benefit information for patients, confirming authorizations, and completing admission notifications as applicable to department.
• Responsibilities include calculating patient liability, generating estimates for patient financial responsibility, and communicating with patients, co-workers, insurers, and physicians.
• Monitors authorizations, ensures accurate CPT codes, service location, and expiration dates.
• Maintains confidentiality and adheres to financial clearance policies.
• Qualifications: High School diploma; one year healthcare insurance verification; strong communication and Microsoft Office/EPIC experience; knowledge of CPT/ICD-9/10.
Requirements:
• Education: High School diploma or equivalent (GED, verification of homeschool equivalency, etc.)
• One year of healthcare experience including insurance verification in a hospital or clinic setting
• Sufficient proficiency in speaking, reading, and writing English
• Ability to effectively communicate with patients, physicians, family members and co-workers in a customer service focus
• Proficiency in Microsoft Office components (Outlook, Word) and knowledge of electronic health record software (EPIC preferred)
• Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies
• Ability to manage multiple tasks
• Mid-level medical terminology and knowledge of insurance requirements for physician visits and procedures
• Ability to manage a fast-paced environment
• Ability to flex hours and work/day assignments to meet needs related to unanticipated patient volume
• Working knowledge of CPT, ICD-9 and/or ICD-10 (preferred)
Benefits:
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