Insurance Verification Specialist

Insurance And Authorization And Verification Specialist

Step into a meaningful role within our Hospice Care Team as an Insurance and Authorization and Verification Specialist dedicated to supporting patients and families during some of life's most vulnerable moments. You'll serve as a trusted resource for nurses, physicians, caregivers, and loved ones, helping maintain comfort, dignity, and continuity of care.

This opportunity is ideal for someone who is compassionate and confident working independently in a field-based or home-care setting. A passion for supporting colleagues, providing calm reassurance, and upholding the highest standards of patient care.

Location: Hospice of Cincinnati 4360 Cooper Rd, Cincinnati, OH 45242

Work Schedule: Part Time Day Shift

Incentives & Benefits: We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

Job Overview: This position provides Insurance Verification and Authorization for all patients. This position contacts insurance companies, verifies Hospice benefit coverage, level of care coverage, enters information into Homeworks in order for staff to have accurate information about patient coverage. The person in this position will work closely with the Financial Counselor for patients who require a Financial Assistance application completed or are in need of applying for Medicaid. This position will keep track of all ongoing authorizations for any level of care change and any expired authorizations. The position requires medical terminology, professional telephone skills, strong computer skills and must be able to perform copying, faxing and follow up as needed.

Job Requirements: High School Degree Vast knowledge of commercial insurance plans, Government plans Medical terminology Excel and ICD9 coding 2-3 years experience in a related field

Job Responsibilities:

Other Job-Related Information: Working Conditions: Climbing - Rarely Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Kneeling - Rarely Lifting 50+ Lbs - Rarely Lifting 11-50 Lbs - Occasionally Pulling - Rarely Pushing - Occasionally Reaching - Rarely Sitting - Consistently Standing - Occasionally Stooping - Occasionally Talking - Consistently Use of Hands - Consistently Color Vision - Occasionally Visual Acuity: Far - Frequently Visual Acuity: Near - Consistently Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors: At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS

Welcome everyone by making eye contact, greeting with a smile, and saying "hello"

Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist

Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS

Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met

Offer patients and guests priority when waiting (lines, elevators)

Work on improving quality, safety, and service

Respect: ALWAYS

Respect cultural and spiritual differences and honor individual preferences.

Respect everyone's opinion and contribution, regardless of title/role.

Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS

Value the time of others by striving to be on time, prepared and actively participating.

Pick up trash, ensuring the physical environment is clean and safe.

Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS

Acknowledge wins and frequently thank team members and others for contributions.

Show courtesy and compassion with customers, team members and the community