Insurance Verification Specialist

Position Summary

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The Insurance Verification Specialist is responsible for participating in hospital activities that directs customers, collects patient demographic and insurance information and processes that information via an internal computer system for collections and reimbursement.

General Requirements:

1)Demonstrates characteristics that support the values, vision, mission, policies and procedures of McLaren.

2)Provides service excellence standards:

a)Responds promptly, professionally and courteously to all customers’ needs.

b)Cooperates and communicates effectively with all McLaren. team members.

c)Contributes to continuous quality improvement efforts.

3)Organizes time and prioritizes effectively.

4)Completes tasks accurately and timely.

5)Flexes to meet department needs and objectives.

6)Practices cost effective measures.

7)Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources.

8)Complies with HIPAA regulations and Patient Bill of Rights.

9)Follows all safety and health standards.

10)Maintains responsibility for own professional development

Essential Functions and Responsibilities:

1)Interprets patient/visitor requests for services.

2)Meets with patient/representative to obtain necessary registration/insurance information.

3)Verifies insurance for all Inpatient, Outpatient Surgery and others as necessary.

4)Work closely with Case Management and Patient Accounting to secure hospital payment.

5)Coordinates request for application of payment assistance.

6)Performs other related duties as assigned.

7)Reports equipment failure to designated repair source.

Qualifications:

Required:

High School Graduate or equivalent.

Preferred:

One year experience in an insurance health care setting

Knowledge, Skills, and Abilities:

Extensive contact with department staff and various McLaren staff members. May come in contact with physicians, patients and/or patients’ families. Ability to interpret insurance benefits and apply them to patient services. Excellent oral and written communication skills. Ability to multi-task, work under pressure and maintain calm composure with customers.

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