Insurance Verifier - HYBRID Job at Munson Healthcare
**This position is HYBRID, and would require relocation to the Traverse City, MI area.
Education:
Education:
- High School diploma, Associates degree preferred or 2 year’s formal education or college experience
- Medical Terminology required or successful completion of medical terminology course in the probationary period. Failure to complete medical terminology will result in termination of employment.
Work Experience:
- Two (2) year’s work experience in customer service, healthcare or business related field.
Keyboard – Computer Skills:
Advanced keyboard, mouse, computer and Microsoft Windows skills are required. Must have basic knowledge of Insurance Verification processes.
Organizational Reporting.
- Under the general supervision of the System Manager of Pre Services, Patient Access Services and the Patient Financial Services System Coordinator(s). Organizationally reports to the System Director of Patient Access Services. May receive input/instructions from other PAS Managers and Patient Financial Services Directors.
Job Duties
Insurance Responsibilities:
- Educates and informs patients of insurance requirements as needed.
- Inputs and updates all insurance information in appropriate screens.
- Verifies eligibility of all insurances available on line.
- Follow up on all verifications not retrievable in a timely manner.
- Verifies primary and secondary insurance. Sequences Blue Cross/Blue Shield, Medicare, Medicaid, Workman’s Compensation, Commercial and Auto Insurance as appropriate.
- Verifies that claims are open and billable for Workmen’s Compensation and Auto Insurance.
- Verifies prior authorization requirements and reaches out to ordering offices to obtain prior authorizations if needed
Collection Responsibilities:
- Refers patients to Financial Counselor for financial assistance screening and/or refers patients to Patient Accounting for payment arrangements when appropriate.
- Performs patient financial estimates on accounts using deductibles, co-pay, out of pockets, coinsurance and patient balances.
Reports:
- May assist with working various reports, including but not limited to: Huron work lists, PRT Missing Expected Patient Type, Verification Follow-up, Denials, Radiology Protocols, and Address Error.
Scheduling:
- Uses current scheduling application to view various appointments.
Remote Work:
If approved: Must pass 6 - month competency test while also meeting quality and productivity standards. Once approved, must maintain quality and productivity standards
Please Note :
www.bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.