Insurance Verification Specialist - Outpatient Care

Lifepoint Health, Inc.; Pasco (WA); In loco; USD 25.000 - 34.000; Tempo pieno

Descrizione del lavoro

Lourdes Health, located in Washington state, is seeking an Insurance Specialist to verify benefits, obtain pre-certifications, and estimate patient liabilities for outpatient procedures. This full-time, on-site role involves heavy payer contact and collaboration with physician offices to ensure timely admissions.

You will review coverage, explain patient responsibilities, and support registration while staying current on imaging policies and payer requirements.

Competenze

• High school diploma or equivalent required.
• Two years of college or medical office specialist education preferred.
• One year experience with obtaining and verifying pre-certifications with various insurance companies required.

Mansioni

• Ensure pre-certifications for scheduled surgeries are obtained timely and documented before appointments.
• Notify physician offices and scheduling if pre-cert is not obtained in time.
• Heavy phone and payer website contact in line with regulations.
• Communicate with insurance payers regarding CPT code discrepancies or changes due to radiologist discretion.
• Perform insurance verification, eligibility and pre-certification for outpatient procedures.
• Maintain current knowledge of outpatient imaging policies and procedures.
• Verify active insurance coverage and obtain benefits using eligibility tools, payer websites, and phone systems.
• Inform Benefits/N​​otification Specialist when a patient has no verifiable insurance benefits.
• Collaborate with physician offices and hospital departments to obtain clinical information and forward documents as needed.
• Create and explain patient liability estimates for scheduled and add-on procedures.
• Contact patients or offices if insurance information is invalid or terminated.
• Provide registration functions as needed.
• Perform other duties as assigned.

Conoscenze

Insurance verification

Pre-certification

Communication skills

Formazione

High school diploma or equivalent

Two years of college or medical office education

Descrizione del lavoro

Lourdes Health, located in Washington state, is seeking an Insurance Specialist to verify benefits, obtain pre-certifications, and estimate patient liabilities for outpatient procedures. This full-time, on-site role involves heavy payer contact and collaboration with physician offices to ensure timely admissions.

You will review coverage, explain patient responsibilities, and support registration while staying current on imaging policies and payer requirements.