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.

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
• Collections insurance information from families by phone or by criteria set by department
• Collections 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)

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
• Prior experience working with insurance and the managed care systems
• Prior experience working in Windows environment

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

Full Remote Work Opportunity!

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.