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  • 12695 West National Avenue
    New Berlin 12695 W National Av
    New Berlin, WI 53151

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Pre-Services Insurance Verifications Representative

Advocate Aurora Health • New Berlin, WI

Posted 12 days ago

Job Snapshot

Full-Time
Degree - High School
Other Great Industries
Insurance

Job Description


How You’ll Make a Difference

Ensures the verification of insurance information received from various points of contact, including patients, payors, and other business office team members. Uses multiple tools in Epic to ensure information is updated, ensuring billing accuracy.

Receives incoming calls from patients as well as business office team members to perform coverage updates. Updates information in Epic to ensure coverage is verified and accurate. Ensures appropriate steps are taken to initiate claims on affected transactions.

Performs updates based on Visit Filing Order changes on a daily basis, ensuring claims are sent to the correct primary/secondary payor.

Reviews electronic eligibility transactions returned for patients with upcoming services, as well as for services that have already been billed to the patient, performing the necessary updates to coverage as needed to ensure accuracy of coverage information.

Sends and receives Customer Relationship Management requests (CRM) to communicate with other team members in the business office regarding patient initiated insurance concerns.

Follows up on patient initiated insurance changes through MyAurora, and makes updates as necessary.

Performs guarantor account updates based on patient initiated requests, ensuring the appropriate guarantor type is being used based on billing requirements.

Updates hospital account records (HARs) and visits to ensure Smart Chart identified data discrepancies are corrected.


Qualifications

License & Certifications
None Required.
Education
High School Graduate.
Experience
Typically requires 2 years of experience in health care concepts of registration, insurance, and billing.

Knowledge and understanding of Revenue Cycle specific insurance and billing procedures preferred.

Previous data entry experience and demonstrated proficiency with emphasis on speed with accuracy.

Good organizational ability as well as written and verbal communication skills.

A basic understanding computerized patient accounting systems.Knowledge of Medicare, Medicaid and third party payers.Knowledge of medical terminology.


Desired Qualifications

Experience in health care registration, Medicare, Medicaid and Third Party insurance and billing.


At Aurora Health Care

We pride ourselves on taking care of our people. And not just our patients—we mean you, too. We help each other live well. When you work at Aurora, you get the chance to work with a dedicated team that’s as passionate about the work as you are. Here, you’ll find limitless opportunities for ongoing learning, career advancement, competitive compensation and a stable work environment. But more than that, you have the opportunity to change lives—including your own.


Diversity and inclusion matters at Aurora.  We celebrate our differences and nurture an environment where everyone feels included.  We know that when we reflect the communities we serve, when we embrace differences and bring our whole selves to work every day, we are working as one to build a healthier tomorrow for everyone.  Aurora supports a safe, healthy and drug-free work environment through criminal background checks and pre-employment drug testing.  We maintain a smoke-free environment at all our locations.  We are an equal opportunity employer.

Job ID: 169545
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