Position: Insurance Verification Specialist
Department: Insurance Verification
Schedule: Per Diem
POSITION SUMMARY:
The Insurance Verification Specialist role is an important 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: 30781