Demo

INSURANCE VERIFICATION SPECIALIST

owensboroworkdaytest
Owensboro, KY Full Time
POSTED ON 2/13/2025
AVAILABLE BEFORE 5/2/2025

Job Summary

Responsible for verifying insurance coverage and eligibility of all patients' accessing services. Maintains confidentiality, professionalism, and ethics while assuring verification accuracy; pertaining to insurance coverage, demographics, and responsible party. Job Responsibilities

  • Verifies coverage and eligibility in real-time for multiple departments throughout the organization.
  • Verifies insurance coverage presented by the patients.
  • Complete tasks that fall to the patient, claim edits, and account work queues.
  • Communicates effectively with the community, professionals, insurance companies, and external agencies.
  • Supports Case Management Staff for current patient issues.
  • Communicates closely with financial advocates to resolve issues that require patient input.
  • Resolves issues related to eligibility and coverage identified by billing staff to ensure claim payments.
  • Participates in maintaining the payer database in EPIC.
  • Supplies educators with examples of coverage discrepancies used to assist in the continued training of Access staff.
  • Problem solves and troubleshoots system errors and reporting issues and / or routes to system administrators.
  • Assists with special projects and duties as assigned.
  • Performs all functions related to registration / admitting via computer.

Qualifications

  • High school diploma, General Equivalency Diploma (GED) or higher required upon hire
  • No experience required
  • No licensure / certification / registration required
  • Skills and Attributes

  • Requires critical thinking skills and decisive judgment.
  • Works under minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.
  • Knowledge in Medical Terminology and Medical Insurance.
  • Physical Demands

  • Standing : Occasionally
  • Walking : Occasionally
  • Sitting : Frequently
  • Lifting 0-25 lbs : Rarely
  • Lifting 25-75 lbs : Never
  • Lifting over 75 lbs : Never
  • Carrying 0-25 lbs : Rarely
  • Carrying 25-75 lbs : Never
  • Carrying over 75 lbs : Never
  • Pushing / Pulling 0-25 lbs : Rarely
  • Pushing / Pulling 25-75 lbs : Never
  • Pushing / Pulling over 75 lbs : Never
  • Climbing : Rarely
  • Bending / Stooping : Rarely
  • Kneeling : Rarely
  • Crouching / Crawling : Rarely
  • Reaching : Occasionally
  • Talking : Frequently
  • Hearing : Occasionally
  • Repetitive Foot / Leg Movements : Never
  • Repetitive Hand / Arm Movements : Frequently
  • Keyboard Data Entry : Frequently
  • Running : Never
  • Vision : Depth Perception : Frequently
  • Vision : Distinguish Color : Frequently
  • Vision : Seeing Far : Frequently
  • Vision : Seeing Near : Frequently
  • Owensboro Health Core Commitments

    INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.

    RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.

    TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.

    INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.

    SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.

    EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.

    PI261206313

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