Insurance Verification Representative
Insurance Verification Representative
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
At Virtua Health we exist for one reason to better serve you. That means being here for you in all the moments that matter striving each day to connect you to the care you need. Whether thats wellness and prevention experienced specialists lifechanging care or something inbetween we are your partner in health devoted to building a healthier community.
If you live or work in South Jersey exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14000 colleagues including over 2850 skilled and compassionate doctors physician assistants and nurse practitioners equipped with the latest technologies treatments and techniques to provide exceptional care close to home. A Magnetrecognized health system ranked by U.S. News and World Report weve received multiple awards for quality safety and outstanding work environment.
In addition to five hospitals seven emergency departments seven urgent care centers and more than 280 otherlocations were committed to the wellbeing of the community. That means bringing lifechanging resources and health services directly into our communities through ourEat Well food access program telehealth home health rehabilitation mobile screenings paramedic programs and convenient online scheduling. Were also affiliated with Penn Medicine for cancer and neurosciences and the Childrens Hospital of Philadelphia for pediatrics.
Location:
PACCT 2000 Crawford PlaceEmployment Type:
EmployeeEmployment Classification:
RegularTime Type:
Full timeWork Shift:
1st Shift (United States of America)Total Weekly Hours:
40Additional Locations:
Job Information:
Job Summary:
Responsible for verification and to ensure completion of insurance and presence of an authorization/referral/notice of admission for various account types. Demographics are audited to assure accuracy. Updating various payer websites and payer communications is necessary. Communication with various departments including utilization review patient access and patient is done to expedite the process. May provide assistance to customers on financial counseling. This is all done with the goal of a clean bill and authorized service to support the revenue cycle and payment of a bill.
Position Responsibilities:
Verification and obtaining of authorizations/precertification/notice of admission. Utilization of payer websites faxes and phone.
Communicating with office site staff when authorization is needed. Identifying an issue and addressing the issue with the site. Assisting departments in regard to verification/authorization.
Updating and auditing demographics including insurance information on accounts.
Assisting and directing patients for financial assistance.
Position Qualifications Required:
Required Experience:
23 year experience with Insurance Verification
Understanding of third party reimbursement and methodologies for all third party payers especially precertification and COB regulations
Outstanding registration skills with strong insurance knowledge
Demonstrated Virtua Values
Required Education:
High School Diploma
Training / Certification / Licensure:
EPIC experience
Required Experience:
Unclear Seniority
Employment Type
Full-Time
