What are the responsibilities and job description for the Pre-Verification Specialist - General and Vascular Surgery position at BayCare Clinic LLP?
Come work where passion, quality, vision, professionalism, and synergy are valued! BayCare Clinic's mission is to provide measurably superior specialty medical services to our patients.
BayCare Clinic General and Vascular Surgery is looking for a Pre-Verification Specialist to join our team in Green Bay, WI. We’re looking for a compassionate, thoughtful candidate who wants to contribute to a positive experience for all our patients. The typical hours for this role are Monday-Friday from 8:00am - 5:00pm. No Holidays! No Weekends!
The Clinic:
BayCare Clinic is a successful, dynamic group comprised of 19 specialties. We are a physician-owned entity with joint ownership in Aurora BayCare Medical Center, a 167-bed hospital located in Green Bay, WI, offering us a built-in referral base. Each of our specialty practices have clinical autonomy and are financially sound.
BayCare Clinic offers part-time and full-time employees a comprehensive benefits package including health, dental, disability and life insurance, as well as flexible spending options. We also offer a 401k retirement plan with a company match, generous PTO, and paid holidays.
The Practice:
The General & Vascular Surgery department is a rapidly growing practice including Bariatric, Medical Weight Loss and Breast Health specialty services. Our newly renovated practice site is conveniently located within Aurora BayCare Medical Center, proving exceptional patient care to the greater Green Bay area.
The Team:
The unique skills and talents of each member of our team contributes to our synergy and our overall goal of providing our patients with excellent care. We believe in the power of a positive, collaborative culture, and we strive to provide a supportive and energizing work environment.
Every member of our team has a voice and is trusted to have ownership over their work. To encourage this, we provide regular opportunities for professional development, we seek out feedback and ideas, and we invite participation on a variety of projects.
The Job:
- Using appropriate methods, obtains prior authorizations for diagnostic studies, procedures, surgeries, and testing as required by each particular insurance company including Worker’s Compensation.
- Verifies patient status through use of websites and phone calls to insurance carriers as necessary.
- Reviews specific coverage policies for individual insurance companies to ensure that requirements are met.
- Updates patient-specific insurance information as necessary in appropriate systems.
- Assists clinic staff and patients who have miscellaneous insurance information questions.
- Documents appropriate and accurate information in electronic record systems.
- Documents prior authorizations in electronic record.
- Respects and maintains confidentiality.
- Works in a safe, compliant and ethical manner at all times.
The Requirements:
- AAS in Health Care Business or combination of education and experience preferred.
- Typically requires two years experience with patients and providers in clinic, hospital or health insurance setting.
- Knowledge of medical terminology and the insurance verification process required.
- Excellent organizational, interpersonal and communication skills are necessary.
- Strong computer skills required.
