Employment Type:

Part time

Shift:

Day Shift

Description:

Trinity Health, Mid-Atlantic, is looking for an Insurance Verification Specialist to join our team!

Employment Type:

Part- Time

Shift: 20hrs/wk, Monday-Friday, days. Per department needs. Remote opportunity.

Job Description:

The Insurance Verification Associate will be responsible for ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region which includes, Mercy Fitzgerald, Mercy Philadelphia, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne.

Has the ability to work proficiently in the multiple areas of verification: Outpatient verification, Elective Short Procedure/Inpatient verification, Urgent Admission verification or Scheduling
Is responsible for obtaining and verifying accurate insurance information, benefit validation, authorization and preservice collections.
Financially clears patients for each visit type, admit type and area of service via current HIS (Health Information System). Collects and documents all required demographic and financial information. Appropriately activates registration and discharges in a timely fashion. 
Analyzes patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order.  Applies recurring visit processing according to protocol.
Verifies patient information with third party payers. Collects insurance referrals and documents within HIS.
Communicates with patients and physician/offices regarding authorization/referral requirements. Identifies potential need for financial responsibility forms or completed electronic forms with patients as necessary. Escalates accounts appropriately in accordance with department Defer/Delay policy to manager.

Qualifications

High School Diploma or equivalent.
Must possess a comprehensive knowledge of financial clearance and insurance verification processes with three (3) to five (5) years of financial clearance experience in an acute care setting.
Ability to evaluate and investigate issues to determine effective resolution to avoid negative financial impact.
NAHAM CHAA or AAHAM CRCS certification, strongly preferred NAHAM CHAM or AAHAM CRCP certification preferred
Ability to communicate and work with patients, physicians, physician office personnel, associates, multiple direct patient care providers and others in order to expedite the registration/intake process.
Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.
Must be proficient in the use of Microsoft Office business software

We offer a competitive salary and comprehensive benefits including:

Medical, Dental, & Vision Coverage
Retirement Savings Program
Paid Time Off
Tuition Reimbursement
Free Parking
And more!

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.