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Check with seller Verification Team Member - Patient Financial Services - Full Time/Weekdays (remote) Baltimore

Published date: April 3, 2022
  • Location: Baltimore, Maryland, United States

This position is currently remote

Position Objective:
The Insurance Verification positions ensures the collectability of the patient’s account by obtaining the proper authorization of services and validating that insurance information is correct. This position increases patient satisfaction with the revenue cycle process by collecting accurate information in a courteous manner. This position assists patients in understanding their financial obligation prior to services being rendered.

Essential Job Duties:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Verifies 100% of appropriate insurance coverage, correcting information as necessary, by contacting insurance companies, according to departmental policy and insurance contracts on a daily basis within 24 hours upon receipt.
Ensures that proper authorization is in place for elective procedures, outpatient testing and elective/urgent/emergent services based on departmental policy. Escalates non-authorized accounts/visits to management.
Accesses phone, fax or online payer tools and resources to verify patient insurance coverage and authorization when applicable.
Enters all information into Revenue Cycle system from insurance company communications confirming benefit information and authorization of dates of service to prevent denials.
Maintains a close interdepartmental working relationship with Surgical Scheduling, Physician offices, Admission/Registration, Financial Counseling, Patient Financial Services and Utilization Management. Notifies the Financial Counselor immediately when insurance coverage is inadequate or has been terminated.
Determines and records copays, deductibles, and co-insurance due from the patient in the revenue cycle system.
Collects patient demographic information and coverage information. Advises patients of their financial obligation and collects payments in a courteous and professional manner.
Provides support/assistance to CM/UR and Revenue Cycle staff in the resolution of verification or authorization issues.
Sends appropriate documentation to scanning in a timely manner.
Adheres to departmental accuracy and performance standards.
Attends staff meetings and in-services, insurance payer meeting or web-based training.
Performs other duties assigned by management

Educational/Experience Requirements:
High school diploma or equivalent required.
Ability to operate standard office equipment including a computer workstation required, including the ability to comprehend basic computer software programs.
Excellent communication, customer service and troubleshooting skills required.
Two years health care experience in admitting or patient financial services. (preferred)
Two years of insurance verification and authorization experience (required)

Required License/Certifications:

Working Conditions, Equipment, Physical Demands:
There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands -

Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

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