Insurance Verification Representative FT - ROC

Insurance Verification Specialist

Performs duties related to verification of insurances for all facilities at STHS. Verifies the insurance plans, calls the insurance companies to obtain benefits along with pre-certification within a timely manner of 24 hours of the admission except for the patients that are admitted on Fridays and during the weekend. Ensures that the case managers receive an online verification form which notifies of any clinical pending and or days that are approved for pre-cert. Communicates effectively with the case management department. Performs patient registration functions by interviewing patient or responsible party to obtain identification and demographic information. Communicates STHS Financial policies to patients and collects patient portions.

Qualifications: One to two years of medical/healthcare business office experience required. Excellent customer service skills required. Computer skills required. Good verbal communication skills in English/Spanish languages required. Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer. High School diploma, GED, or Higher Education preferred.