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

Employment Type:

Part time

Shift:

Day Shift Description:

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

Employment Type:

POOL Shift:

20hrs/month, per department needs. Remote opportunity.

Job Description:

The Insurance Verification Associate will be responsible for ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region which includes, Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne. Has the ability to work proficiently in the multiple areas of verification: Outpatient verification, Elective Short Procedure/Inpatient verification, Urgent Admission. Is responsible for obtaining and verifying accurate insurance information, benefit validation, authorization and preservice collections. 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. Appropriately activates registration and discharges in a timely fashion. 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. Escalates accounts appropriately in accordance with department Defer/Delay policy to manager. Qualifications High School Diploma or equivalent. Must possess a comprehensive knowledge of financial clearance and insurance verification processes with three (3) to five (5) years of financial clearance experience in an acute care setting. Ability to evaluate and investigate issues to determine effective resolution to avoid negative financial impact. NAHAM CHAA or

AAHAM CRCS

certification, strongly preferred NAHAM CHAM or

AAHAM CRCP

certification preferred Ability to communicate and work with patients, physicians, physician office personnel, associates, multiple direct patient care providers and others in order to expedite the registration/intake process. Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems. Must be proficient in the use of Microsoft Office business software We offer a competitive salary and comprehensive benefits including: Medical, Dental, & Vision Coverage Retirement Savings Program Paid Time Off DailyPay 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.