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Main Line Health

Insurance Verification Representative

Career Insights for Eligibility Specialist

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$50,384 / year median in Pennsylvania

+16% projected growth

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Job Description

Could you be our next Insurance Verification Rep at our Mirmont Treatment Center? Why work as an Insurance Verification Rep at Main Line Health? Make an Impact! The Insurance Verification Rep is responsible to confirm the financial/insurance information obtained during the registration process to determine that State, Federal and Third-Party precertification requirements for payment are met. This includes ensuring the completion of insurance verification, benefits and eligibility and pre-certification for hospital admissions as well as accurate documentation in Epic. This position performs complex insurance verification and eligibility determinations including investigative and problem-solving activities to support minimization of financial risk and optimal reimbursement. Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a common purpose: providing superior service and care.
Position-Specific Benefits include:
You are eligible for up to 120 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free!
Shift:
8AM-4:30PM (Monday-Friday)
Experience:
Must have working knowledge of Medicare, Medicaid, commercial, managed care rules, regulations and familiarity with medical terminology. 2 plus year's recent work experience in patient registration or financial counseling department. 2 years required. Working knowledge of patient management and patient accounting computer systems required.
Education:
High school diploma or GED required

Benefits

  • Paid Time Off (PTO)
  • Dental Insurance
  • Discounts/Reimbursements