-
Insurance Verification Representative
- Virtua Health (Mount Laurel, NJ)
-
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 that's wellness and prevention, experienced specialists, life-changing care, or something in-between – 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 14,000 colleagues, including over 2,850 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 Magnet-recognized health system ranked by U.S. News and World Report, we've 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 other locations (https://www.virtua.org/locations) , we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.
Location:
PACCT - 2000 Crawford Place
Employment Type:
Employee
Employment Classification:
Regular
Time Type:
Full time
Work Shift:
1st Shift (United States of America)
Total Weekly Hours:
40
Additional 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:
2-3 year experience with Insurance Verification
Understanding of third party reimbursement and methodologies for all third party payers, especially pre-certification and COB regulations
Outstanding registration skills with strong insurance knowledge
Demonstrated Virtua Values
Required Education:
High School Diploma
Training / Certification / Licensure:
EPIC experience
Hourly Rate: $18.88 - $28.29
The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.
Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.
For more benefits information click here (http://view.publitas.com/kelly-1/virtua-benefit-guide-pt-2025/) .
-
Recent Searches
- Packager 2nd Shift Dryer (United States)
- Senior Rooms Operations Manager (Maryland)
- MRI Technician Imaging MRI (Pennsylvania)
- Quality Analyst Senior Level (United States)
Recent Jobs
-
Insurance Verification Representative
- Virtua Health (Mount Laurel, NJ)
-
Licensed Physical Therapist Assistant (PTA, Therapy, Rehab) - Homecare
- Hartford HealthCare (Southington, CT)