Insurance Verification Specialist

Insurance Verification Specialist

General Summary of Position: Verifies patient's benefits and coverage for commercial insurance Medicare Workman's compensation and Medicaid. Obtains authorization for hospital admission. Supports registration and scheduling staff has good communication skills between physicians office staff co-workers and patients when discussing insurance benefits and authorization for a medical procedure and or admission.

Primary Duties and Responsibilities:

• Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
• Provide excellent customer service in all patient communication with the goal of providing accurate and timely registration and scheduling educating and providing service and support as the first point of contact for MedStar St. Mary's Hospital.
• Timely and accurately verify and schedule patients following all policy and procedures including patient identifiers and patient confidentiality.
• Verifies eligibility and benefits and obtains authorizations when needed for all services specific to the clinical department and location.
• Performs duties of a registrar as needed and maintain error rate <2%. Review registrations for accuracy completeness and perform any necessary corrections timely.
• Maintains a professional relation with other departments within the facility including assisting and working with and as part of the Revenue Cycle Team.
• Obtains authorizations to ensure maximum reimbursement to meet patient satisfaction and maintain all payer rules and regulations and corporate compliance.
• Timely and accurate completion of worklist and work queues and maintain records to insure that all required data elements and information is validated.
• Demonstrate ongoing knowledge and competency of the scheduling and registration systems including applications and other assigned system tools.

Minimal Qualifications:

• High School Diploma or GED required
• Associate's degree in Humanities or Business preferred

Experience:

• 1-2 years Experience in hospital registration required and
• Experience in hospital and or medical office setting insurance verification and authorization process required

Licenses and Certifications:

• CHAA - Certified Healthcare Access Associate CHAA certification within 1 Year required

This position has a hiring range of USD $18.70 - USD $32.72 /Hr.