Insurance Verification Specialist - Full Time - Days
Job description
Job Description
Jupiter Medical Center is reimagining how to restore the community's health and wellness. Award-winning physicians, world-class partnerships and innovative techniques and technology enable Jupiter Medical Center to provide a broad range of services with specialty concentrations in cardiology, oncology, imaging, orthopedics and spine, digestive health, emergency services, lung and thoracic, women's health, weight management and men's health. Our medical center consistently performs in the top 10 percent of hospitals for patient quality and satisfaction and has earned the highest rating in the region for quality of care.
The Insurance Verification Specialist will be responsible for delivering a dynamic customer experience to all customers and demonstrate a strong commitment to service excellence.
The Insurance Verification Specialist initiates contact with insurance companies for verification of benefits.
- Utilizes electronic scheduling/pre-registration/financial systems, payer's websites, and recorded calls to validate patient's health coverage and benefits.
- Review and verify all insurance plans and confirm patient's eligibility and benefits.
- Communicate with insurance carriers for insurance verification, obtaining patient benefits and/or follow up.
- Verify whether the plan coverage is Primary or Secondary; HMO, PPO or Commercial Carrier Insurance
- Verify plan coverage including deductibles and co-pays and the status of payment requirements.
- Verify the out-of-network requirements/benefits for each patient.
- Verify insurance for emergency and walk-in patients as requested.
- Maintain proper insurance verification documentation in the patient's medical record.
- Input or update any demographic, insurance information, referrals, patient management, documentation into electronic file.
- Contacts and communicates all applicable insurance deductible, co-pay, arrival and procedure information and instructions to the patient prior to arrival.
- Identify patient financial responsibilities and collect applicable payment.
- Maintains the confidentialtiy of patient's records and any related work.
- Performs other duties as assigned.
Requirements
- High school graduate or equivalent
- Enthusiastic, friendly, patient focused customer service skills.
- Exemplary communication skills, written and verbal - must be comfortable speaking to patients via phone and successfully communicate pertinent information.
- Professional, effective communication skills required to contact insurance companies to obtain patient benefits.
- Must be a team player with ability to collaborate interdepartmentally and with clinical staff.
- Capacity to multi-task with computer programs while providing patients the highest level of care and attention.
- Works well in a team environment to accomplish common tasks to solve problems and enhance the smooth and efficient flow of the department.
- Minimum of 1 year experience with hospital insurance plans including Medicare, Medicaid, HMO's and PPO's.
- Excellent typing and computer skills.
- Familiarity with area managed care plans and contractual terms.
- Ability to self-direct and exercise independent judgment in situations requiring follow-up and discussions with clinical staff and/or other areas of Patient Access to ensure completion of required pre-arrival information to ensure enhanced customer service.
- Minimum of 1 year of specialized training in a health care setting with demonstrated knowledge of insurance verification and woking knowledge of authorization and pre-certification process preferred.
- Familiarty with medical terminology.
Follow-Us
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