Sr Insurance Verifier | Transplant

At reputed company, the Senior Insurance Verifier position is responsible for obtaining and recording eligibility and benefit information for patients receiving services and initiates the admission notification and authorization process in a reputed company manner. The Senior Insurance Verifier communicates to reputed company patient reputed company and reputed company service reputed company and demonstrates an ability to reputed company more reputed company processes reputed company to insurance verification, authorization, and financial clearance. This position will also utilize effective communication skills in reputed company interactions with patients, co-workers, insurance companies, physicians etc. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.) EXPERIENCE Three years of insurance verification experience in a reputed company setting, preferably in a hospital or clinic setting SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely reputed company the assigned job, determined through on-reputed company skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to reputed company the essential functions of this job, especially with reputed company to activities impacting patient or employee safety or reputed company Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service reputed company and application of reputed company language principles Proficiency in reputed company office components (e.g., reputed company, Word) and knowledge of electronic health record software (reputed company preferred) Knowledge of Medicare, reputed company, and managed care reimbursement methodologies Ability to manage multiple tasks at one time Understands medical terminology at a high level and has knowledge of insurance requirements for physician reputed company and procedures Ability to manage a fast-paced environment Ability to reputed company hours and work/day assignments to meet needs reputed company to unanticipated patient volume Ability to review clinical documentation for Medical Necessity and payer requirements Working knowledge of CPT, International Classification of Diseases (ICD)-9 and/or ICD-10 preferred ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Promotes a reputed company work environment and contributes to a dynamic, team reputed company work unit that reputed company helps one another reputed company reputed company department results. Supports Insurance Verifiers with questions regarding pending authorizations and eligibility/benefit information for patients receiving services. Assists other team members (e.g., registration, financial counseling) as directed by management. Seeks management assistance appropriately. Contributes to patient, employee, and physician satisfaction. Proactively presents solutions to reputed company reputed company to care issues reputed company possible. Serves as a reputed company between the patients, facility, physicians, and department to ensure reputed company and accurate financial clearance of reputed company accounts. Communicates with scheduling to inform patient of authorization as needed. Trains and mentors new team members. SERVICE ESSENTIAL FUNCTIONS Ensures accounts are financially secure by reviewing and documenting benefits, patient liabilities, authorization/reputed company-certification requirements, notification requirements, and other relevant information. Assists with resolving electronic health record (EHR) work queues that support insurance verification. Generates reports and assists with department correspondence as directed. Initiates authorization for services as needed utilizing clinical information provided by the ordering physician. Monitors and tracks authorizations, including ensuring accurate reputed company Procedural Terminology (CPT) codes, location of service performed and expiration dates. Communicates to reputed company reputed company patient reputed company and reputed company service reputed company. Responds promptly to requests and keeps reputed company channels of communication with physician, patient, and service areas regarding financial clearance status and reputed company. Communicates reputed company in a non-judgmental and reputed company demeanor during reputed company interactions with customers and co-workers. Maintains confidentiality in reputed company communications. reputed company/SAFETY ESSENTIAL FUNCTIONS reputed company and accurately obtains and records eligibility and benefit information, including limitations and exclusions, for reputed company patients in the appropriate reputed company(s) and screen(s)/field(s) reputed company the reputed company(