Medical Insurance Verification Specialist

Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title:

Location:

Additional Posting Details:

Monday- Friday

8:00 a.m.- 4:30 p.m.

Job Description:

Responsibilities

• Models a service attitude towards others, takes ownership in solving problems and takes the initiative to make things better, is friendly and courteous to patients, families and co-workers

• Perform all aspects of insurance verifications for the patients who are scheduled for Inpatient and Outpatient procedures and special radiology procedures

• Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review

• Request and secure referrals from Primary Care Physicians and Insurance companies

• Analyze benefits for appropriate coverage for services

• Capable of calling families to verify their information and insurance coverage

• Provide clerical and administrative support as required

• Assist with updating and maintaining current billing systems/software

• Create reports for tracking and trending purposes

• Cross-train with other positions in Patient Access to provide coverage and understand overall functions of department

• Responsible for all correspondence from Insurance companies

Education / Requirements:

• High School diploma required

• Knowledge of health insurance procedures

• Ability to relate positively, effectively and appropriately with residents, families, community members, volunteers and other facility staff

• Self-starter with aptitude for following through on details and resolving discrepancies

• Ability to read, write and speak English