Insurance Verification Specialist

Location Altru Health System PO Box 6002 Grand Forks, ND 58201 Pay Range: $17.92 - $26.88 Summary The Insurance Verification Specialist supports financial clearance through the accurate and timely verification of insurance and benefit information for patients at Altru Health System. The role is also responsible for obtaining and verifying current subscriber information and ensuring referral requirements are secure prior to service resulting in accurate claims and a smooth experience for patients. This position serves as a point of contact for peers in resolving questions or issues related to insurance to improve patient satisfaction and reduce registration and COB denials stemming from front-end activities. Essential Job Functions Ensures and adheres to strict confidentiality when handling patient charts, records, and registration information. Utilizes online systems, phone communication, and other resources to determine eligibility and benefits prior to the date of service. Accurately identifies and assigns payer plans in the electronic medical record and notifies appropriate leaders of potential payer or RTE discrepancies in the system. Reviews Medicare accounts for completed and accurate Medicare Secondary Payer Questionnaire (MSPQ) to ensure correct filing order for the visit. Communicates with patients, clinicians, front-end staff, and translators to obtain any necessary additional or missing insurance or referral information. Coordinates benefits by effectively determining primary and secondary liability when needed. Alerts physician offices and patients to issues with verifying insurance or meeting referral requirements. Holds proficient understanding of insurance terminology. Assists in training new insurance verification staff and front-end staff on insurance verification processes. Performs other duties as assigned or needed to meet the needs of the department/organization. Education Preferred: Associates - Healthcare Work Experience Required: A minimum of 1 year Related Experience Language Requirements This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members. Physical Demands Sit: Frequently (34-66%) Stand: Occasionally (5-33%) Walk: Occasionally (5-33%) Stoop/Bend: Occasionally (5-33%) Reach: Frequently (34-66%) Crawl: Not Applicable Squat/Crouch/Kneel: Occasionally (5-33%) Twist: Occasionally (5-33%) Handle/Finger/Feel: Continuously (67-100%) See: Continuously (67-100%) Hear: Continuously (67-100%) Weight Demands Lift -Floor to Waist Level: Sedentary ( Carry: Sedentary ( Push/Pull: Sedentary ( Slide/Transfer: Sedentary ( Working Conditions Indoor: Continuously (67-100%) Outdoor: Not Applicable Extreme Temperature: Not Applicable Driving Requirement Definitions Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials. Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily. Occasional Drivers: Persons who drive from once per month to as frequently as once per week. Infrequent Drivers: Persons who are generally not expected to drive. Driving Requirement for this position Infrequent Driver Benefits Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO). #J-18808-Ljbffr