Insurance Customer Care Professional

Kent Campus Hospital
Full Time 80 Hours
SHIFT: Day/ Evening
The Insurance Verification and Authorization Specialist I provides high level customer service while performing complete and accurate financial clearance functions to provide information for continuity of care and revenue cycle efficiency. Verifies insurance benefits, makes pre-certification requests, and obtains authorizations for services. The Insurance Verification and Authorization Specialist I performs other duties as assigned to support the department's needs and policy changes.
Request, track and obtain insurance authorizations and pre-certs for patient services within time allotted for treatment for Bayhealth and referring physicians (if appropriate). Ensure request for authorization is timely and handled in accordance with departmental policy and payer requirements. Maintains performance standards. Validates coordination of benefits between insurance carriers 6. Clearly document all communications and contacts with payers, physicians, and families in standardized documentation requirements. Maintain knowledge of insurance company requirements. Screens patients for financial assistance programs and initiates applications. Education High School Diploma or GED
Required: One year of medical office/insurance clerical experience with prior CPT and ICD-10 coding experience.
Preferred: Two (2) years insurance verification or registration experience in a hospital or physician office.
Education Associate Degree Business Or Associates Degree in healthcare related field or a graduate of a medical/practical nursing licensed technical program.