Trinity Health, Mid-Atlantic, is looking for an Insurance Verification Specialist to join our team!

Employment Type:
Full-time

Schedule:

1FTE, Monday-Friday 8am-4:30pm w/ one rotating evening shift.

Will be on site, must be able to commute to:

41 University Drive

Newtown, PA 18940

(weekly evening shift assignment will be remote)

The Insurance Verification Specialist is responsible for obtaining and verifying accurate insurance information, benefit validation, authorization and preservice collections on all qualifying accounts.
This is a key position that will begin the overall patient experience and initiates the billing process for any services provided by the hospital.

• Financially clears patients for each visit type, admit type and area of service via EPIC.

• Collects and documents all required demographic and financial information. Appropriately activates registration and canceled or no-show accounts in a timely fashion.

• Analyzes patient insurance(s), identifies the correct insurance plan, selects appropriately from EPIC insurance and plan selections and documents correct insurance order.

• Verifies patient information with third party payers. Collects insurance referrals and documents within EPIC. Communicates with patients and physician/offices regarding authorization/referral requirements. Identifies potential need for financial responsibility forms or completed electronic forms with patients as necessary. Escalates accounts appropriately in accordance with department Defer/Delay policy to manager.

• Screens outpatient visits for medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare Questionnaire and obtains information from the patient if third party payers need to be billed (i.e. worker's compensation, motor vehicle accidents and any other applicable payer).

• Maintains operational knowledge of regulatory requirements and guidelines as outlined in the hospital and department Compliance Plans. Ensures Meaningful Use requirements are met as appropriate.

Qualifications:

• HS diploma or equivalency (required)

• Associate's degree (preferred)

• Insurance verification, patient registration experience (preferred)

We offer a competitive salary and comprehensive benefits including:

• Medical, Dental, & Vision Coverage

• Retirement Savings Program

• Paid Time Off

• Tuition Reimbursement

• Free Parking

• And more!