• Job Description

  Req#: 00582897

  Employment Type:

  Full time

  Shift:

  Day Shift

  Description:

  Trinity Health, Mid-Atlantic, is looking for an Insurance Verification Specialist to join our team!
  

  Employment Type:
  Full-time

  Schedule:

  1FTE, Monday-Friday 9am-5:30pm w/ one rotating evening shift.

  The Insurance Verification Specialist is responsible for obtaining and verifying accurate insurance information, benefit validation, authorization and preservice collections on all qualifying accounts. This is a key position that will begin the overall patient experience and initiates the billing process for any services provided by the hospital.

  • Financially clears patients for each visit type, admit type and area of service via EPIC.

  • Collects and documents all required demographic and financial information. Appropriately activates registration and canceled or no-show accounts in a timely fashion.

  • Analyzes patient insurance(s), identifies the correct insurance plan, selects appropriately from EPIC insurance and plan selections and documents correct insurance order.

  • Verifies patient information with third party payers. Collects insurance referrals and documents within EPIC. Communicates with patients and physician/offices regarding authorization/referral requirements. Identifies potential need for financial responsibility forms or completed electronic forms with patients as necessary. Escalates accounts appropriately in accordance with department Defer/Delay policy to manager.

  • Screens outpatient visits for medical necessity and issues A dvanced B eneficiary N otice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare Questionnaire and obtains information from the patient if third party payers need to be billed (i.e. worker's compensation, motor vehicle accidents and any other applicable payer).

  • Maintains operational knowledge of regulatory requirements and guidelines as outlined in the hospital and department Compliance Plans. Ensures Meaningful Use requirements are met as appropriate.

  
  Qualifications:

  • HS diploma or equivalency (required)

  • Associate's degree (preferred)

  • Insurance verification, patient registration experience (preferred)

  We offer a competitive salary and comprehensive benefits including:

  • Medical, Dental, & Vision Coverage

  • Retirement Savings Program

  • Paid Time Off

  • DailyPay

  • Tuition Reimbursement

  • Free Parking

  • And more!

  Our Commitment to Diversity and Inclusion
  

  Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

• About the company

  Trinity Health employs about 129,000 colleagues, including 7,500 employed physicians and clinicians. Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs.

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