Insurance Verification Associate

Insurance Verifier is responsible for effective and efficient insurance verification of assigned payers. The insurance verification on outstanding accounts includes; telephone contact with payers and parents, work the insurance verify queue and correspondence, update accounts as necessary, request new payer codes as needed and meet departmental productivity standards.

• Make necessary telephone or written contact.
• Contact payers or utilizes electronic eligibility software to verify insurance coverage.
• Payer websites or Coverage Insight to verify insurance coverage.
• Contact parents to obtain accurate insurance information.
• Send appropriate letters.
• Consistent follow-up on outstanding accounts by working correspondence.
• Verifies insurance coverage on all accounts > $50,000.00 within the first 15 days of admission.
• Review and work all daily correspondence received from patients and payers.
• Review accounts to ensure the correct payer code was selected.
• Maintains a log of registration errors identified and submit to the Hospital Associate Manager as constructive feedback.
• Update accounts as necessary.
• Update accounts in Centricity or Next Gen with information obtained through correspondence and telephone (i.e. insurance, authorization, baby’s name, etc.).
• Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes are current and timely.
• Meet or exceed required departmental productivity standards on a consistent basis.
• Average of quality and quantity productivity standards must meet or exceed 94%.
• Performs a variety of other duties.
• Assists on various special projects as determined by the Manager.
• Always meets deadline dates and times on assigned projects.
• Work overtime in mandatory situations.
• Maintain strict confidentiality in accordance with HIPAA regulations and Company policy and any patient private health information (PHI) must not be divulged on any account except to payers that need the information in order to process the claim for payment.
• Performs other job-related duties within the job scope as requested by Management of Patient Accounts.
• Reads and complies with established policies and procedures.

Job Type: Full-time

Salary: $13.50 to $14.00 /hour

Required experience:

• Medical Office Procedures and/or Medical Billing: 1 year

Job Location:

• Phoenix, AZ