Insurance Verification Representative

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

Could you be our next Insurance Verification Rep at our Mirmont Treatment Center?

Why work as an Insurance Verification Rep at Main Line Health?

Make an Impact!

The Insurance Verification Rep is responsible to confirm the financial/insurance information obtained during the registration process to determine that State, Federal and Third-Party precertification requirements for payment are met. This includes ensuring the completion of insurance verification, benefits and eligibility and pre-certification for hospital admissions as well as accurate documentation in Epic. This position performs complex insurance verification and eligibility determinations including investigative and problem-solving activities to support minimization of financial risk and optimal reimbursement.

Join the Team!

Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a common purpose: providing superior service and care.

Position-Specific Benefits include:

You are eligible for up to 120 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free!

Shift:

8AM-4:30PM (Monday-Friday)

Experience:

Must have working knowledge of Medicare, Medicaid, commercial, managed care rules, regulations and familiarity with medical terminology.

2 plus year's recent work experience in patient registration or financial counseling department. 2 years required.

Working knowledge of patient management and patient accounting computer systems required.

Education:

High school diploma or GED required