Insurance Verification Rep - Nights, Northeast Baptist

Description

SHIFT: Monday-Friday 4PM-12:30AM

JOB SUMMARY

Responsible for collecting necessary benefit, authorization and patient estimate liability to properly financial clear upcoming patient visits. This position impacts the Hospital’s financial bottom line. Reimbursement for services rendered is dependent upon the insurance benefit verification and meeting the authorization requirements of the various insurance payors.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Communicate with insurance companies for the purpose of collecting and documenting information necessary to financially clear patients (eligibility, authorization, benefits, and calculate patient liability calculations).
• Coordinates with insurance providers and departments to obtain referrals and pre-authorization, documents these findings into the appropriate system(s).

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to handle high productivity standards, at exceptional quality requirements
• Excellent verbal and written communication skills
• Proficient data entry and typing skills (40 WPM)
• Proficient in the use of general office equipment (computers, fax and copier)
• Exceptional problem solving and analytical abilities
• Effective communicator able to converse in a professional and intelligible manner regarding Patient Access business
• Ability to work within a team setting and be supportive of team members
• Ability to multi-task within multiple systems

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

• High school education or the equivalent
• 2 – 5 years administrative experience in medical facility, health insurance verification, or related area preferred
• 2 – 5 years experience in Customer Service or related call center environment preferred
• 1 – 2 years prior experience in a call center and hospital patient account billing with experience or knowledge of reimbursements from insurance companies and government payers preferred.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to sit at a computer terminal for extended periods of time
• Ability to work extended hours when required.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Call Center environment with headset and multiple work stations within close proximity

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!