Inpatient Behavioral Health Insurance Verifier

Henderson Hospital; Newark (DE); Vor Ort; USD 36.000 - 52.000; Vollzeit

Benefits dieser Stelle

Challenging work

Generous PTO

Medical plan

Dental plan

Vision plan

401(k) with match

SoFi refinancing

Career development

Tuition assistance

Zusammenfassung

Rockford Center in Newark, DE is seeking an Insurance Verification Specialist to coordinate patient coverage for inpatient behavioral health services and support accurate billing and reimbursement. The role involves communicating with insurers and assisting patients in understanding their options.

Responsibilities include rapid verification of benefits, documenting verifications in AS400, reviewing data for accuracy, and notifying leadership of payer trends to mitigate financial risk.

Qualifikationen

• High school diploma or GED is required.
• Experience with insurance verification and medical terminology is desirable.
• Strong communication, customer service and organizational skills, plus active listening and clinical skills.

Aufgaben

• Verifies Medicare benefits via the CWF and flags financial issues.
• Verifies benefits within 24 hours for admissions during business hours.
• Contact insurance companies to confirm coverage, requirements and policy limits.
• Enter verifications into the AS400 system and ensure accurate data, noting in-house patients.
• Review insurance data for accuracy and rectify issues.
• Notify the CBO Director of negative payer trends.
• Scan admission documents into Document Imaging.
• Timely review of Admission packets.

Kenntnisse

Insurance verification

Medical terminology

Communication skills

Customer service

Organization

Active listening

Ausbildung

High school diploma/GED

Tools

AS400

Jobbeschreibung

Rockford Center in Newark, DE is seeking an Insurance Verification Specialist to coordinate patient coverage for inpatient behavioral health services and support accurate billing and reimbursement. The role involves communicating with insurers and assisting patients in understanding their options.

Responsibilities include rapid verification of benefits, documenting verifications in AS400, reviewing data for accuracy, and notifying leadership of payer trends to mitigate financial risk.