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Insurance Verification Specialist
3 months ago
Overview
This is primarily a remote position – incumbents, who reside in Oregon or Washington only , may work at home, on the road or in a satellite location for all or part of their workweek. There may be occasional situations that require work to be performed on-site at an assigned Legacy Health location.
All new hires are required to come to a designated Legacy Health office location in Portland, Oregon prior to their start date for a new hire health assessment and to complete new hire paperwork.This position may require initial training and orientation to be site-based, before transitioning to the remote schedule.
Responsibilities
At Legacy, we strive to show our patients and their family members that we care about them. We follow that down to every detail because our mission is to make life better for others. You can help us with that mission in the pre-registration department. Your pleasant, friendly demeanor will set the tone as you contact patients and family members to complete pre-registration and other documents, help patients understand their liability, promptly return patient phone calls and inform patients of important items to bring to their procedures.
Provides Extraordinary Customer Service :
Demonstrates knowledge of all departments, units and buildings on campus to correctly direct anyone
Interviews/registers patients :
Maintains a basic understanding of the health insurance market and available products and functions as a resource to the patient or directs the patient to the appropriate resource
Maintains a thorough understanding of the Legacy financial assistance program and provides information to patients regarding the program or directs the patient to the appropriate resource
Completes Pre-Registration for scheduled services via the telephone, obtaining all pertinent demographic and financial information, notifies patient of co-pay, deductible, and coinsurance
Attempts Pre-Service collection of patient liability (co-pay and/or deductible)
Prioritize accounts by Expected Date, Estimated Liability
Obtains needed demographic, insurance, health and financial information and completed/signed forms required for services and confirmation of payment sources
Reviews and validates registration, additional insurance and provider information
Enters accurate and complete information in the system
Maintains basic knowledge pertaining to insurance issues which includes, but is not limited to Motor Vehicles, Workman's Comp, Medicare, and OHP/Washington Welfare/Medicaid
Complies with Regulatory requirements :
Understands and communicates complex information relating to admission and government forms (., Advance Directive,) to patients and/or their representatives
Understands and complies with, HIPAA, Joint Commission and State Audits
Produces reports from registration data :
Follows appropriate downtime procedures as needed
Answers all incoming departmental calls
Attends all required departmental and hospital in-service programs
May train new employees
Qualifications
Education:
High school diploma or equivalent required. A minimum of two years college education including satisfactory completion of college level Health Records coursework preferred.
Experience:
A minimum of one year of healthcare experience or equivalent education in at least one of the following areas required: Pre-Registration, Admitting, Patient Access or applicable clerical support experience. Six months customer service experience required. Previous registrar and third-party payer experience preferred. An understanding of health plan and benefit structures preferred.
Skills:
Demonstrated ability to communicate clearly in the English language
Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines
Demonstrated effective interpersonal skills which promote cooperation and teamwork
Ability to withstand varying job pressures and organize/prioritize related job tasks
Ability to perform multiple tasks at the same time
Excellent public relations skills and demonstrated ability to communicate in calm, succinct, business-like manner
Ability to deal with people in stressful situations
Ability to identify alternative means of communication as needed
Ability to adapt to change
Net typing of 40 WPM and PC based computer skills
Familiarity with 10 key
Knowledge of medical terminology
LEGACY'S VALUES IN ACTION:
Follows guidelines set forth in Legacy's Values in Action.
Equal Opportunity Employer/Vet/Disabled
Licensure
National Certification of CHAA preferred.
Min
USD $20.42/Hr.Max
USD $29.21/Hr.Need help finding the right job?
