Insurance Verification & Eligibility Specialist

Main Line Health; Middletown Township (PA); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Paid time off (up to 120 hours/year)

Employee discounts

Free employee parking

Job summary

Main Line Health is seeking an Insurance Verification Rep at the Mirmont Treatment Center in Pennsylvania. You will confirm financial and insurance information collected during registration to meet precertification requirements for payment and ensure accurate documentation in Epic.

You will perform complex verification and eligibility determinations, supporting minimization of financial risk and optimal reimbursement, while collaborating with care teams to keep the patient experience smooth and

Qualifications

• Must have working knowledge of Medicare, Medicaid, commercial, managed care rules.
• 2+ years' experience in patient registration or financial counseling.
• Experience with patient management and patient accounting systems.

Responsibilities

• Verify insurance information and precertification requirements for payment.
• Document verification and eligibility in Epic.
• Assist in hospital admissions pre-certification.
• Support minimization of financial risk and optimization of reimbursement.

Skills

Medicare/Medicaid rules

Medical terminology

Patient management systems

Financial counseling

Education

High school diploma or GED

Tools

Epic

Job description

Main Line Health is seeking an Insurance Verification Rep at the Mirmont Treatment Center in Pennsylvania. You will confirm financial and insurance information collected during registration to meet precertification requirements for payment and ensure accurate documentation in Epic.

You will perform complex verification and eligibility determinations, supporting minimization of financial risk and optimal reimbursement, while collaborating with care teams to keep the patient experience smooth and