Insurance Verification Specialist Per Diem

 

Position: Insurance Verification Specialist

Department: Insurance Verification

Schedule: Per Diem, Part Time

POSITION SUMMARY:

The Insurance Verification Specialist role is part of the Revenue Cycle Patient Access team and is responsible for coordinating all financial clearance activities by navigating all referral, precertification, and/or authorization requirements as outlined in payer-specific guidelines and regulations. The role plays an important dual role by helping to coordinate patient access to care while maximizing BMC hospital reimbursement.

JOB REQUIREMENTS

EDUCATION:

• High School Diploma or Equivalent required, Associates degree or higher preferred.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• Case manager and/or coding certification desirable

EXPERIENCE:

• 4-5 years medical billing/denials/coding/and/or inpatient admitting experience desirable

KNOWLEDGE AND SKILLS:

• General knowledge of healthcare terminology and CPT-ICD10 codes.
• Complete understanding of insurance is preferred.
• Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view.
• Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.
• Knowledge of and experience within Epic is preferred.
• Demonstrates technical proficiency within assigned Epic work queues and applicable ancillary systems, including but not limited to: ADT/Prelude/Grand Central, HB & PB Resolute.
• Demonstrates proficiency in Microsoft Suite applications, specifically Excel, Word, and Outlook.
• Displays a thorough knowledge of various sections within the work unit in order to provide assistance and back-up coverage as directed.
• Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards IND123

Req id: 29751