Inpatient Insurance Verifier-FT/Days

Job Summary: Reports to the Patient Access Supervisor, Manager and or Director is responsible for verifying account information after registration. Notification of admission is made to Insurance Companies/IPA/Workers’ Comp Agencies. Obtain tracking or certification numbers during notification process. Responsible in tracking and monitoring errors to provide ongoing education with the staff during the review process.

Essential Job Duties:

• Verification in demographic data to ensure information was entered correctly in the patients account.
• Review eligibility information to validate its accuracy and verify that the plan code and the certificate or member number have been entered correctly.
• Notify payor upon patient admission to our facility and obtain a certification and or tracking number
• Document detail insurance information and or changes pertaining to the patients registration.
• Provide education to the staff when errors or pattern of errors occur.
• Provide Case Management with information to assist placing or transferring a patient

Behavioral Standards:

• Exhibits customer and service-oriented behaviors in everyday work interactions.
• Demonstrates a courteous and respectful attitude to internal workforce and external customers.

Communication/Knowledge:

• Provides accurate and timely written and verbal communication of information in a manner that is understood by all.
• Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome.
• Able to use IT systems in an accurate and proficient manner.

Collaboration/Teamwork:

• Contributes toward effective, positive working relationships with internal and external colleagues.
• Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization.

Education/Experience:

• High school graduate or job-related work experience equivalent
• 2 to 3 years of hospital Admitting experience preferred.

Licensure/Certifications:

• BCLS Required AB508 Training required when working the Emergency Department

ADA/Physical Demands:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Such accommodations must be requested by the employee/applicant in order to be considered.
• Required to stand; walk; sit; use hands to fingers, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; talk and hear; and may taste and smell. The employee is regularly required to lift, push and/or pull weights in excess of 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties.