Insurance Verification Specialist – Full Time – Trinity Health Mid-Atlantic Position Available In Leon, Florida

Employment Type:

Full time

Shift:

Description:

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

Schedule:

Full-time (40 hours)

Shift:

11:30am -8:00pm, rotating weekends Training – 8:00am-4:30pm, onsite within 50 miles of Newtown, PA Trinity Health, Mid-Atlantic, is looking for an Insurance Verification Specialist to join our team!

Employment Type:

Full-time Schedule:

40 hours per week, based on department needs 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 current HIS (Health Information System). Collects and documents all required demographic and financial information. Analyzes patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order. Applies recurring visit processing according to protocol. Verifies patient information with third party payers. Collects insurance referrals and documents within HIS. 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. 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. Informs and explains all applicable government and private funding programs and other cash payment plans or discounts to the patient and/or family.

Qualifications:

HS diploma or equivalency [required] Associate’s degree [preferred] Insurance verification 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! Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.