Insurance Verifier - Full Time, Days (Norwalk) - 10311

Oversees all admissions and confirms proper verification of patient’s coverage. Reviews inpatient admissions to verify and re-verify plans, ensures plan codes are correct, and appropriately documents in systems.

Qualifications

• One year of admitting/registration office experience
• High School Diploma or GED
• Basic Understanding of Medical Terminology
• Excellent written and verbal communication skills in English
• Strong time management skills
• Ability to multitask and maintain a work pace appropriate to workload
• Computer literacy and proficiency
• Must demonstrate customer service skills appropriate to the job

Preferred Qualifications

• Bachelors Degree
• Bilingual skills to communicate effectively with patients and families

Physical Requirements

These are requirements normally expected to perform regular job duties. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Standing - Frequently
• Walking - Frequently
• Sitting - Frequently
• Reaching with Hands and Arms - Frequently
• Climb or Balance - Occasionally
• Stooping, Kneeling, Crouching, or Crawling - Occasionally
• Talking - Constantly
• Hearing - Constantly
• Seeing - Constantly
• Performing repetitive motions with arms or hands - Frequently
• Lifting, carrying, pushing or pulling up to 10 lbs - Occasionally
• Lifting, carrying, pushing or pulling up to 25 lbs - Occasionally
• Lifting, carrying, pushing or pulling up to 50 lbs - None
• Lifting, carrying, pushing, or pulling greater than 50 lbs - None
• Driving - None

Responsibilities

• Reviews all inpatient and outpatient admissions, including daily Managed Care report from the previous day, to ensure insurance verifications are accurate and complete.
• Contacts the insurance carrier to verify eligibility for the billing department.
• Ensures health plans are contacted in an appropriate and timely manner when pre-certification is required.
• Enters insurance verification information into Optimum and All Scripts.
• Ensures all insurance information is current and accurate.
• Re-verifies all insurance information on the 2nd and 16th of each month.
• Appropriately notifies leadership and case management of any changes in coverage.
• Contacts contracted vendor to screen patient for insurance coverage.
• Reviews the daily Bill Hold Report for any accounts which do not have verification completed, appropriately completes verification, and enters initials to document/verify completion.
• Maintains confidentiality with regard to patients, families, employees, and visitors.

Pay

Min - $21.10 / Max - $29.00