Sr. Insurance Verification Specialist Position Available In Muscogee, Georgia
Tallo's Job Summary: The Sr. Insurance Verification Specialist position at St. Francis-Emory Healthcare in Columbus, Georgia requires verifying insurance coverage, determining patient liability, and ensuring pre-certification requirements are met. The role involves contacting patients before appointments to confirm information and payment expectations. Applicants should have a high school diploma, critical thinking skills, and 3-5 years of customer service experience. HFMA's CPAR designation is preferred.
Job Description
Sr. Insurance Verification Specialist
Columbus, Georgia
Facility St. Francis-Emory Healthcare
Req
ID 540660
Post Date 04/21/2025 Category Administrative
Description
Job Summary
At ScionHealth is committed to a culture of service excellence as demonstrated by our employees’ adnce to the service excellence principles of Pride, Teamwork, Compassion, Integrity, Respect, Fun, Professionalism, and Responsibility.
At. St. Francis-Emory Healthcare, we recognize that our patients deserve qualified, engaged, and competent healthcare professionals. And we know that our employees deserve a working environment that is safe, leaders who are visible and supportive, and opportunities to grow and develop. We have a positive, hopeful, and resilient leadership team that is solely focused on taking care of the heart of St. Francis – the people who work . If you feel that your skills and compassion fit with our vision for person-centered care and evidence-based practice, and you would like to belong to a hospital family that only the best are invited to join, we invite you to apply today.
Responsible for collecting and entering complete and accurate demographic and insurance information prior to the patient’s arrival. Verifying that the pre-certification requirements of the insurance companies have been met. Verifying the benefits coverage and quantifying the patient liability portion. Contacting the patient, the day before arrival to remind them of the appointment, set the expectation for payment, and answer any questions the patient may have.
Essential Functions
Pre-registers Outpatients, and Inpatients.
Verifies that the insurance coverage is in effect, determines the amount of coverage & patient liability.
Verifies that Pre-certification has been obtained whenever appropriate & works with the Physician’s office staff to obtain it whenever needed.
Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
Contacts scheduled patients the day prior to their appointment to confirm they are coming and verify that all demographic & insurance information is correct.
Qualifications
Education
High school diploma or equivalent Required
Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Licenses/Certifications
HFMA’s Certified Patient Account Representative (CPAR) designation preferred.
Experience
3 to 5 years in customer service focused environment.
