Insurance Verification Specialist

6 days ago

WinstonSalem, United States Novant Health Full time
Job Summary

Responsible for ensuring appropriate insurance verification, i.e. correct coverage, applicable benefits, and coordination of benefits. Responsible for reviewing authorization requirements and ensuring approvals are obtained for surgeries, radiology/ancillary appointments, and hospital stays. Communicate with other hospital departments including admitting/registration, financial counseling, and utilization review. Communicate with provider offices (i.e. surgery schedulers, patient service coordinators, etc.) to ensure authorization initiation, gather additional clinical information, relay pertinent insurance information, etc. Communicate with insurance providers via phone and electronically via web portals to validate patient benefits, check authorization requirements, and review authorization status. Responsible for maintaining and properly handling inbound and outbound calls. All responsibilities should contribute to providing the remarkable patient experience, team member experience, and an overall reduction in denials and write-offs.

Come join a remarkable team where quality care meets quality service, in every dimension, every time.

#JoinTeamAubergine #NovantHealth Let Novant Health be the destination for your professional growth.

At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Responsibilities

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
  • Our team members are part of an environment that fosters team work, team member engagement and community involvement.
  • The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
  • All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
Qualifications
  • Education: High School Diploma or GED, required. 2 Year / Associate Degree, preferred.
  • Experience:
    • Minimum one year in patient access, registration, billing, insurance and/or pre-certification, any call center or customer service experience; required.
    • Experience with insurance carriers or third party administrators is preferred, preferred.
  • Additional Skills Required:
    • Excellent interpersonal and communication skills, experience and competency in customer relation skills in a professional environment. Ability to organize and prioritize work in a stressful environment. Ability to work effectively/productively as a member of a team and is self-directed in a remote work environment in various types of environments (e.g. onsite corporate locations, remote/home office).
    • Good problem solving skills. Basic medical terminology. Exemplary keyboarding skills and experience in patient registration systems (i.e. Epic) and familiarity with personal computers. Ability to perform several tasks simultaneously. Ability to drive/travel to multiple locations/facilities as needed.
    • Ability to understand how job performance affects the outcomes of key performance indicators such as denials and write-offs.

Job Opening ID

31569

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