Insurance Verification Specialist- Full Time, Days- Trinity Health, Mid-Atlantic

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:

Tues-Thurs 11:30am-7:30pm

Friday – 9:00am-5:30pm

Saturday – 7:30am-4:00pm

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 Advanced Beneficiary Notice 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. workers 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.

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Qualifications:

HS diploma or equivalency (required)

Associates 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

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.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran