Insurance Verification Representative - Per Diem
Main Line HealthBryn Mawr, PA, United States8 days ago
Job type
- Full-time
- Part-time
Job descriptionProcess registrations within 1-business day of admission for urgent and emergent admissions. Review all demographic information, correcting as needed. Accurately verify all insurance plans and Coordination of Benefits. Accurately verify all third-party sponsorship by phone or electronically (RTE, payor portals, PROMISE, Novitasphere etc). Obtain pre-certification on all urgent and emergent admissions. Identifies copayment, deductible and co-insurance information. Ensure that pre-certification was obtained for all other admissions. Contacts physicians, their office staff and patient to obtain necessary information to complete the pre-certification process Acts as resource person for MLH for precertification issues and assists with patient accounting issues Manages Retrospective Review requests which may include calling payors, use of portals and / or provision of medical records as required.5. Monitors individual payers for specific contractual requirements. Works in conjunction with the billing staff to ensure clean billing. Ensures quality, timeliness, and compliance with MLH and regulatory requirements. Understanding of third-party reimbursement and methodologies for all third-party payers specifically pre-certification and Coordination of Benefits (COB) regulations. Develops and achieves departmental and professional goals annually. Position : Insurance Verification Representative, Per Diem Must have working knowledge of Medicare, Medicaid, commercial, managed care rules, regulations and familiarity with medical terminology- 1 year required. 2+ year's of experience in recent work within patient registration or financial; counseling department. Working knowledge of patient management and patient accounting computer systems required.
Could you be our next per diem Insurance Verification Representative?
Why work as an Insurance Verification Rep, Per Diem
- 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!
Essential Accountabilities include :
Must be willing to assist other departments with insurance eligibility, benefit and precertification questions.
Shift : Day Shift, Rotating Sundays as needed - anticipated 16 hours per week
Experience :
Education : High school or GED
Licensures / Certifications :
N / A
Additional Information
Requisition ID : 78537
Employee Status : Regular
Benefit Eligibility : Full-Time Benefits
Schedule : Part-time
Shift : Day Job
Pay Range : $18.37 - $28.47
Job Grade : 205
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Insurance Verification • Bryn Mawr, PA, United States