INSURANCE VERIFICATION SPEC, FCH - ENTERPRISE REGISTRATION

Job Summary

The Insurance Verification Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to delivery of inpatient, outpatient, and ancillary services. This individual determines which patient services have third party payer authorization requirements and collaborates with the appropriate clinical partners, case managers, financial counselors, payers, and others to make sure the necessary authorization is obtained. The Insurance Verification Specialist provides detailed and timely communication in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record.

Experience Description

• Minimum of one year experience in a hospital admitting/registration/billing/managed care department with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's, and PPOs.

Educational Requirements

• A High School diploma or equivalent is required.

Special Skills

• Knowledge of online insurance eligibility systems.
• Excellent typing and computer skills.
• Familiarity with Medical Terminology.
• Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity.

Compensation, Benefits & Perks

• Pay is expected to be between: (expressed as hourly) $20.45- $27.81.
• Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.
• Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:
  • Paid time off
  • Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
  • Academic Partnership with the Medical College of Wisconsin
  • Referral bonuses
  • Retail 403b
  • MEDICAL, DENTAL, VISION, LIFE INSURANCE, SHORT & LONG TERM DISABILITY, FREE WORKPLACE CLINICS
  • Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

About the Role

• Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility.
• This job is REMOTE.
• FTE: 1.000000
• Standard Hours: 40.00
• Shift: Shift 1
• Shift Details: Monday - Friday, 8:00 am - 4:30 pm CST

Schedule

• Shift 1
• Monday - Friday, 8:00 am - 4:30 pm CST

Benefits

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retail 403b
• MEDICAL, DENTAL, VISION, LIFE INSURANCE, SHORT & LONG TERM DISABILITY, FREE WORKPLACE CLINICS
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

Equal Opportunity Employer

• We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce.
• We welcome protected veterans to share their priority consideration status with us at 262-439-1961.
• We maintain a drug-free workplace and perform pre-employment substance abuse testing.