Insurance Verification Specialist-Per Diem

3M HEALTHCARE; Coral Gables (FL); Hybrid; USD 24,796 - 38,572; Part time

Benefits offered by this job

Free onsite parking

Flexible schedules

Job summary

Trinity Health is seeking an Insurance Verification Specialist to ensure pre-service accounts are financially cleared before the date of service for the Trinity Mid-Atlantic Region, including Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St.

Mary Medical Center Langhorne. The role covers outpatient verification, elective short procedure / inpatient verification, and urgent admission verification, as well as benefit validation, authorization, and preservice collections.

Qualifications

• High School Diploma or equivalent is required.
• Experience in scheduling, financial clearance, or patient access is preferred (2–5 years).
• National HFMA CRCR or NAHAM CHAA certification within 1 year of hire is required.
• Proficiency with patient registration and accounting systems is expected.

Responsibilities

• Verify insurance information, benefit validation and authorization for pre-service.
• Ensure pre-service accounts are financially cleared prior to service date.
• Initiate the billing process and preservice collections as needed.
• Support patient experience from registration through early billing.

Skills

Patient registration systems

Financial clearance

Education

High School Diploma or equivalent

Associates Degree (preferred)

Tools

Patient Registration/Patient Accounting systems

Job description

Insurance Verification Specialist

Employment Type: Part time | Shift: Day Shift

Location: Onsite requirement for training at 41 University Dr, Newtown, PA 18940, then remote.

The Insurance Verification Specialist will be responsible for ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region which includes Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne. Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling. Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections. Begins the overall patient experience and initiates the billing process for any services provided by the hospital.

Minimum Qualifications

• High School Diploma or equivalent.
• Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.
• National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
• Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.

Additional Qualifications (Nice to Have)

• Associates Degree, preferred.
• Comprehensive knowledge of scheduling with mastery in at least three (3) modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting.
• Experience in complex facility based ancillary testing across multiple facilities/states.
• Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.

Position Highlights

• Work/Life balance with flexible schedules.
• Free onsite parking.
• Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.
• Referral Rewards Program.
• Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.