Insurance Verification Coordinator
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Job Location:
Cleveland, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Hospice of The Western Reserve operates in celebration of the individual worth of each life we strive to relieve suffering enhance comfort promote quality of life foster choice in end-of-life care and support effective grieving.
WHY US
We believe that our success starts with our greatest asset: OUR EMPLOYEES!
We live our shared core values in everything we do:
COMPASSION. EXCELLENCE. EQUALITY. INTEGRITY. SERVICE. STEWARDSHIP.
We have a passion for purpose-driven work! Do you
JOIN OUR FAMILY!
Verifies medical insurance coverage for all pay sources. Obtains authorization for services as needed. Performs various clerical functions related to reimbursement of services. Works collaboratively and in conjunction with the Referral Assessment Liaison Care Solutions Center Centralized Medical Records and Financial Services teams.
WHAT YOU WILL DO:
- Identifies new referrals in the EMR (electronic medical record).
- Verifies Medicare benefits on the appropriate online site.
- Verifies Medicaid and Medicaid Managed Care benefits on the appropriate online site.
- Assists and/or performs the verification of commercial insurance benefits as identified as well as obtains authorizations as needed.
- Documents insurance benefits authorizations and other pertinent information in the EMR according to established procedures.
- Works with appropriate staff and the payors case managers to reauthorize services prior to expiration of current authorization period.
- Processes explanation of insurance benefits letters for commercial insurance patients and subcontracted services.
- Notifies Medicaid of hospice spans for Medicare and Medicaid dually eligible patients via the MITS portal.
- Problem solves eligibility certification and appeals issues.
- Assists in the continued development of the verification admission and reimbursement processes.
- Completes special assignments/projects and other duties as assigned.
- Demonstrates effective Service Excellence skills according to agency guidelines.
- Performs identified back-up functions as assigned by supervisor.
SUCCESS CAPABILITIES:
- Two (2) or more years experience in medical insurance verification and healthcare billing preferred.
- Two (2) or more years experience with electronic medical records preferred.
- High School diploma.
- Proficient in Microsoft Word Excel and Outlook.
- Ability to compose and type business correspondence.
- Must be detail oriented and able to work in a fast-paced environment.
- Must demonstrate strong customer service and communication skills.
- Flexibility to work both independently and in a team environment.
DETAILS:
- Total Rewards Package to include Retirement Health Dental Vision voluntary benefits and Corporate Discounts
- Tuition Assistance
- Non-exempt role
- Protocols in place for wellbeing during COVID-19
CONDITIONS OF EMPLOYMENT:
- Compliance to Annual Vaccination Policy or ability to provide exemption documentation
- Ability to provide proof of eligibility to work in the United States.
- High level of integrity ethics and professionalism.
PHYSICAL REQUIREMENTS AND WORKING CONDITIONS
This position requires the duties be completed in both office-type settings and patient care settings. May include making visits to a variety of home environments with prolonged telephone or computer use at times. Could require the exertion of up to 20 pounds of force occasionally; work requires sitting stooping bending kneeling reaching standing fingering grasping and repetitive motions; vocal communication; hearing and visual acuity. This position has the potential to be exposed to environmental elements internal and external such as infectious disease bloodborne pathogens and chemicals and/or chemical fumes (pet dander and/or exposure to allergens) and adverse effects of inclement weather that may occur as well as potentially difficult patient and family situations.
NOTE: The responsibilities of this position are described above and they may be subject to change at any time due to reasonable accommodations or other reasons. Also this description in no way states or implies that these are the only duties to be performed by the employee occupying this position.
Applicants who may need reasonable accommodations to complete the application process may contact:
Careers at Hospice of the Western Reserve
17876 St. Clair Ave.
Cleveland OH 44114
216.383.2222
Hospice of the Western Reserve is an Equal Opportunity Employer and encourages Women Minorities Individuals with Disabilities and protected Veterans to apply.
Required Experience:
IC
Key Skills
- Customer Service
- Dentrix
- Debits & Credits
- Insurance Verification
- Dental Receptionist
- Dental Office Experience
- Medical Billing
- Front Desk
- Filing
- CPT Coding
- Eaglesoft
- Medicare
About Company
For over 45 years, Hospice of the Western Reserve has been a leader of end-of-life care and provides comprehensive hospice and palliative care, caregiver support, and bereavement services across 16 counties in Northern Ohio.
