What are the responsibilities and job description for the Insurance Verification Specialist - Full Time - Trinity Health, Mid-Atlantic position at Trinity Health Mid-Atlantic?
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.
Schedule: Full-time (40 hours)**
Shift: Weekdays 12:00pm-8:30pm, every third weekend 9:00am-5:30pm
**While this role is remote, there will be occasional need to be on site for training and meetings.
Trinity Health, Mid-Atlantic, is looking for an Insurance Verification Specialist to join our team!
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.
Schedule: Full-time (40 hours)**
Shift: Weekdays 12:00pm-8:30pm, every third weekend 9:00am-5:30pm
**While this role is remote, there will be occasional need to be on site for training and meetings.
Insurance Verification Specialist:
Financially clears patients for each visit type, admit type and area of service via current HIS (Health Information System). Collects and documents all required demographic and financial information.
Analyzes patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order. Applies recurring visit processing according to protocol.
Verifies patient information with third party payers. Collects insurance referrals and documents within HIS. 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.
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. 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.
Informs and explains all applicable government and private funding programs and other cash payment plans or discounts to the patient and/or family.
Qualifications:
HS diploma or equivalency [required]
Associate's degree [preferred]
Insurance verification experience [preferred]
We offer a competitive salary and comprehensive benefits including:
Medical, Dental, & Vision Coverage
Retirement Savings Program
DailyPay
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.
