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ARMA Ins. Verification Rep 1

UNC Health Appalachian
Boone, NC Full Time
POSTED ON 2/21/2025
AVAILABLE BEFORE 4/20/2025

Position Overview

The Admissions and Pre-certification Specialist is responsible for obtaining pre-certification information for all admissions, verifying insurance coverage, and coordinating pre-admission certification. This role supports patient registration and admitting functions while ensuring a seamless and exceptional patient experience. The Admissions and Pre-certification Specialist works directly with insurance providers, healthcare teams, and patients to verify benefits, network status, and financial responsibilities.

Compensation is commensurate upon education, experience, certification, and internal equity. Hiring compensation range starts from $15.75 per hour.


The Perks and Benefits

  • Collaborative environment: Work alongside dedicated professionals in a mission-driven healthcare organization.
  • Professional development: We offer ongoing training, tuition reimbursement, and participation in our Career Pathways Program.
  • Impactful work: Help ensure a smooth admissions process and financial clarity for patients.
  • Location perks: Boone, NC, offers outdoor activities, shopping, dining, breweries, and cultural attractions.
  • Top-tier community: Boone boasts a top-rated public school system and is home to Appalachian State University.
  • Compensation is commensurate upon education & experience - range is $15.75 per hour or more. Benefits begin the first of the month following 60 days of employment from the new hire orientation date. This position is non-exempt and includes shift differentials for qualified shifts.
  • Comprehensive benefits package including health, dental, and vision insurance, as well as HSA.
  • Supplemental insurance covering short- and long-term disability, accident, life, hospital indemnity, critical illness, identity theft protection, and legal assistance.
  • Student loan refinancing and tuition reimbursement for qualifying employees.
  • 403(b) retirement plan with employer match.
  • Paid time off (PTO): Front-loaded for the first year, with a cash-out option available for qualifying employees.
  • Paid parental leave: Two weeks of paid leave within the first six months of birth/adoption.
  • Employee wellness program - Love Your Life: Award-winning voluntary wellness program with incentives.
  • Employee to Employee (E2E) program: A voluntary, employee-funded assistance program.
  • Additional employee perks: Discounts for Dollywood, Biltmore, Tweetsie Railroad, and more.
  • Take a virtual tour of our new Schaefer Family Patient Care Tower [here].

Key Responsibilities

  • Obtain pre-certification and benefits verification for all patient admissions.
  • Contact insurance providers to verify coverage, network status, and financial obligations.
  • Process patient registration and admission information accurately and efficiently.
  • Communicate with patients, families, and healthcare providers to facilitate a seamless admission process.
  • Maintain compliance with hospital policies, insurance regulations, and patient confidentiality standards.
  • Provide exceptional customer service to enhance the patient experience.

Position Requirements

Minimum Education

  • High school diploma or GED required.

Experience

  • Three to six months of experience in a medical office, clinic, or acute care setting preferred.

Required Registration/License/Certification

  • N/A

Knowledge, Skills, and Abilities

  • Knowledge of patient admissions and scheduling processes.
  • Strong communication skills for patient interactions, insurance verification, and care coordination.
  • Proficiency in computer systems, faxing, phone operations, and document scanning.
  • Attention to compliance, detail, and financial accuracy.
  • Ability to provide exceptional customer service to patients, families, and staff.

Physical Demands

  • Lifts, pushes, and pulls up to 50 lbs.
  • Manual dexterity and mobility required.
  • Prolonged sitting, standing, and walking > 7 hours per day.
  • Frequent bending, squatting, twisting, and turning.
  • Near acuity for computer and document review tasks.

Working Conditions

  • Regular exposure to bloodborne diseases.
  • Exposure to electrical, mechanical, and power equipment hazards.
  • Odorous chemicals, specimens, and unpleasant elements (e.g., accidents, slippery surfaces).
  • Handles emergency situations and crisis response.
  • Subject to irregular hours (days, evenings, nights, weekends, holidays).

About UNC Health Appalachian

UNC Health Appalachian, the leader in High Country healthcare, consists of three hospitals, 13 medical practices, Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation. We are committed to improving health, enhancing quality of life, and making life better for our community.

About UNC Health

UNC Health is a state entity affiliated with the University of North Carolina system, operating 14 hospitals, 18 hospital campuses, and over 500 clinics. Over the past three years, UNC Health has provided $400 million in uncompensated or charity care to North Carolina residents.

UNC Health Appalachian values diversity and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status. We welcome applications from all backgrounds and are committed to a fair and inclusive hiring process.

Employment at UNC Health Appalachian is contingent upon the successful completion of a background check and drug screening. For accommodations or additional information, contact arhsrecruitment@unchealth.unc.edu.

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Salary : $16

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