Insurance Verification Specialist is responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Being an Insurance Verification Specialist interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance. May require a bachelor's degree in area of specialty. Additionally, Insurance Verification Specialist typically reports to a supervisor or manager. To be an Insurance Verification Specialist typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)
Affiliated Health of Wisconsin, Ltd is seeking a detailed oriented individual to fill the position of health insurance benefits verification and prior-authorization.
Position Summary:
Processes scheduling reports accurately and completely according to
procedure, maintains minimal backlogs.
Follow up- Ensures timely follow up with a tickler system to review accounts that require
additional information in order to obtain verification/eligibility information.
Maintains accurate and up-to-date information: Ensures proper account documentation
within the WINDX system as it relates to benefits and "estimated patient due" amounts.
Ensure account accuracy related to insurance names, addresses, insurance order and
account status.
Outgoing Calls- Maintains a professional demeanor and ensures proper benefit responses
are received according to policy/procedure.
Maintains an audit log to ensure timely submission of PA requests.
Ensures documentation accuracy/completeness.
Ensures timely follow up with insurance companies (within 48 hours of PA request).
Daily Processing of correspondence accurately, timely and completely according to procedure, maintains minimal backlogs.
Documents/Responds accordingly to incoming correspondence/inquiries from any internal and/or external source regarding a patient account (s).
Maintains accurate and up to date information and proper account documentation.
Identifies and assists in resolving issues – appeals.
Job Type: Full-time
Job Type: Full-time
Pay: $17.00 - $20.00 per hour
Benefits:
Weekly day range:
Application Question(s):
Work Location: In person