What are the responsibilities and job description for the Insurance Verification Specialist position at Wills Eye Hospital?
EOE Statement
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
About the Organization
Wills Eye Hospital, located in Philadelphia, Pennsylvania, is a global leader in the treatment of eye disease. Established in 1832 as the America's first eye hospital, we are one of the world's premier eye care facilities and the #2 best hospital in the nation for ophthalmology as ranked by U.S. News & World Report.
Our clinical expertise, state-of-the-art diagnostic testing and advanced surgical capabilities make Wills Eye a worldwide referral center where more than 250,000 patients are treated annually. From common eye problems to rare sight-threatening diseases, Wills Eye provides general eye care and comprehensive ophthalmic specialty services that attract patients throughout the Philadelphia metropolitan area, across the country and around the world.
Today, we continue to shape the science and medicine of ophthalmology, thanks to our talented, skilled physicians and staff who are dedicated to improving and preserving sight.
Description
Primary Function :
The Insurance Verification Specialist is responsible for performing insurance verifications and obtaining all necessary authorizations / referrals for Surgical Cases and pre-collecting out of pocket expense based on insurance plan and benefits.
Essential Duties and Responsibilities :
- Utilizes web-based and telephone communications to perform insurance verifications within 48 hours of receipt of reservation / notification for both inpatient and outpatient surgical cases.
- Communicates effectively with Patient Accounts Manager as necessary to ensure prompt resolution of verification or authorization issues.
- Identifies out-of-pocket expenses for all surgical cases and notifies patients of their financial responsibilities.
- Maintains log of expected payments from patients on a daily basis
- Develops daily reports of previous days pending cases and communicates explanations to the Patient Accounts Manager.
- Meets / exceeds performance expectations and completes work within the required time frames.
- Articulates critical information in a clear and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians.
- Functions as an effective team member
- Demonstrate adaptability, flexibility, and accountability when changes are made in job description and responsibility, including performing all qualified duties throughout other areas of the hospital
- Strives to maintain the confidentiality of all patients and their families / significant other(s)
- Formulates and maintains effective working relationships with peers, managers and other members of the health care team.
Position Requirements
Educational requirements :
Experience :
Category
Accounting / Finance
Full-Time / Part-Time
Full-Time
Position
Insurance Verification Specialist
Number of Openings
Exempt / Non-Exempt
Non-Exempt
Location
Wills Eye Hospital
This position is currently accepting applications.
