Senior Insurance Verification Specialist

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

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 here. 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.

Job Summary

• 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
  
  

Licenses/Certifications

• HFMA’s Certified Patient Account Representative (CPAR) designation preferred
  
  

Experience

• 3 to 5 years in customer service focused environment
  
  

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