• Insurance Verification Specialist - Pool - Trinity…

    Trinity Health (Newtown, PA)


    Employment Type:

    Part time

    Shift:

    Day Shift

    Description:

    _Trinity Health, Mid-Atlantic, is looking for an Insurance Verification Specialist to join our team!_

     

    **Employment Type** :

    POOL

    **Shift:** 20hrs/month, per department needs. Remote opportunity.

     

    :

     

    The Insurance Verification Associate will be responsible for ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region which includes, Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne.

     

    + Has the ability to work proficiently in the multiple areas of verification: Outpatient verification, Elective Short Procedure/Inpatient verification, Urgent Admission.

    + Is responsible for obtaining and verifying accurate insurance information, benefit validation, authorization and preservice collections.

    + Financially clears patients for each visit type, admit type and area of service via current HIS (Health Information System). Collects and documents all required demographic and financial information. Appropriately activates registration and discharges in a timely fashion.

    + Analyzes patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order.  Applies recurring visit processing according to protocol.

    + Verifies patient information with third party payers. Collects insurance referrals and documents within HIS.

    + Communicates with patients and physician/offices regarding authorization/referral requirements. Identifies potential need for financial responsibility forms or completed electronic forms with patients as necessary. Escalates accounts appropriately in accordance with department Defer/Delay policy to manager.

    Qualifications

    + High School Diploma or equivalent.

    + **Must possess a comprehensive knowledge of financial clearance and insurance verification processes with three (3) to five (5) years of financial clearance experience in an acute care setting.**

    + Ability to evaluate and investigate issues to determine effective resolution to avoid negative financial impact.

    + NAHAM CHAA or AAHAM CRCS certification, strongly preferred NAHAM CHAM or AAHAM CRCP certification preferred

    + Ability to communicate and work with patients, physicians, physician office personnel, associates, multiple direct patient care providers and others in order to expedite the registration/intake process.

    + Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.

    + Must be proficient in the use of Microsoft Office business software

    We offer a competitive salary and comprehensive benefits including:

    + Medical, Dental, & Vision Coverage

    + Retirement Savings Program

    + Paid Time Off

    + DailyPay

    + Tuition Reimbursement

    + Free Parking

    + And more!

     

    Our Commitment

     

    Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

    Our Commitment to Diversity and Inclusion

    Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

     

    Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

     

    EOE including disability/veteran