Financial Verification Representative

Job Summary:
Initiates contact with families to obtain necessary registration and insurance information. Pre-registered patients by calling patient families or by using the department protocol. Ensures that all patient accounts flow through the billing cycle without errors caused by lack of insurance verification, incomplete or inaccurate demographic information or other registration-related errors which may cause the receivable to remain unpaid

Essential Functions:

• Enters all registration and pre-registration information accurately and completely in the Epic system for Ambulatory Clinics, Dental Clinic, SA 11, and Inpatient/Outpatient Surgeries

• Collects insurance information from families by phone or by criteria set by department

• Collects and verifies demographic and insurance information online and over the phone with key customers including: patient families, physician offices, and insurance companies

• Identifies Self-Pay patients to Financial Counselors based on CHW administrative guidelines and adheres to the Financial Clearance self-pay process as appropriate.

• Utilizes Language Interpretation phone system for non-English speaking patients and families

• Participates in quality improvement initiatives, training sessions, and department meetings.

• Ensures confidentiality to our customers by creating and maintaining a secure environment in compliance with HIPAA

• Adheres to all CHW and Patient Access policy, procedures and standards

Education:

• High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) Required

Experience:

• 1+ years of experience in registration, scheduling or administrative support experiences in a healthcare setting or a business/call center environment Required

• EPIC experience Preferred

• Prior experience working with insurance and the managed care systems Preferred

• Prior experience working in Windows environment Preferred

Knowledge, Skills and Abilities:

• Excellent organizational, analytical and prioritizing skills necessary to work in a fast-paced environment with multiple tasks done simultaneously.

• Analytical ability to determine the anticipated patient liability and ascertain need for financial counseling.

• Excellent communication and interpersonal skills necessary to gather and share information with families and team members in a courteous, professional and confidential manner.

• Ability to maintain positive communication skills during stressful situations.

Required for All Jobs:

• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job.

• Employment is at-will. This document does not create an employment contract, implied or otherwise.