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Patient Access Insurance Verification

Company: Hirebridge Organic
Location: Oak Park
Posted on: May 12, 2022

Job Description:

Job DescriptionJob Summary:An Insurance Verification Specialists are responsible for pre-verification of insurance for patients being admitted into the hospital for care & confirming a patient's insurance details and eligibility to receive services. Specialists review the insurance documents of the patients, including its coverage and limitations, and escalate concerns to the supervisor for immediate resolution. They interview patients & process paperwork accordingly upon coordinating with the patients and attending health professionals to ensure the admitting process is efficient and within regulatory policies. An insurance verification specialist must have excellent communication and organizational skills, finishing administrative tasks efficiently under minimal supervision.Essential Job Duties: · Must have excellent written and verbal communication skills to communicate effectively with staff, patients, guarantors, insurance companies, and physicians. · Demonstrates attention to detail, accurate data input, spelling, reading, and mathematical skills required. · Strong typing skills required 40 and up wpm. · Demonstrates the ability to learn quickly and follow directions given by supervisor or outlined in policies. · Strong computer skills and knowledge in Microsoft Word, Excel & the ability to maneuver through multiple screens in a timely manner. · Ability to multi-task in a fast and high-pressured environment. · Maintain confidentiality of patient's personal and medical information according to HIPPA regulations. · Verifies all commercial insurance coverage, worker's compensation insurance, accident insurance, and state programs and determines patient's responsibility if applicable. · Obtains pre-certification number from physician's office if applicable.· Determines patient qualification for coverage by third-party payer and informs financial counselor, patient, or family member of status.· Maintains the current list of facility insurance contracts and payment schedules. · Documents pre-qualifications for third-party payer before the date of scheduled admissions. · Ensures that patient financial counselors are aware of any co-payments, deductibles, etc. · responsibility for assets not applicable qualifications· Follows all Federal, State, and regulatory guidelines to maintain compliance. Customer Service Behavioral Standards: · Exhibits customer and service-oriented behaviors in everyday work interactions. · Demonstrates a courteous and respectful attitude to the internal workforce and external customers. · Handles difficult situations in a discreet and professional manner.· Is adaptable to changes in assignments and priorities.Communication/Knowledge: · Provides accurate and timely written and verbal communication of information in a manner that is understood by all. · Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome. · Able to use IT systems in an accurate and proficient manner. · Must have excellent written and verbal communication skills to communicate effectively with staff, patients, guarantors, and insurance companies. Collaboration/Teamwork: · Contributes toward effective, positive working relationships with internal and external colleagues. · Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for a good of the customer and the organization. Education/Experience/Required Skills: · High School Diploma: some college is preferred · Minimum of two years of customer service experience required. · 2+ years of experience performing patient registration within a hospital setting preferred. · Knowledge of insurance company practices regarding reimbursement preferred. · Functional understanding of core systems for patient registrations, insurance verification and financial counseling. Licensure/Certification:· NAHAM (National Association of Access Management) Certification completed within 1 year of hire. · Medical Terminology Course completed within 1 year of hire. Physical/Mental/Emotional Demands: · Required to stand; walk; sit; use hands to fingers, handle or feel; reach with hands and arms; stoop; kneel, crouch, or crawl; talk and hear. The employee is regularly required to lift, push and/or pull weights more than 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties. · Handles multiple priorities, independent decision making, manages stress appropriately, works in proximity to others or in a distracting environment, manages decisions under pressure, manages anger/fear/hostility, works alone effectively & communicates with others effectively.

Keywords: Hirebridge Organic, Oak Park , Patient Access Insurance Verification, Other , Oak Park, Illinois

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