Insurance Verifier

Universal Hospital Services Inc.; Newark (DE); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Excellent Medical, Dental, Vision

401(K) with company match

Tuition Assistance

Career development opportunities

SoFi Student Loan Refinancing Program

Generous Paid Time Off

Job summary

Universal Health Services in Newark, DE seeks a detail-oriented professional to verify patient insurance coverage for inpatient behavioral health services. You will collaborate with insurance providers to ensure accurate billing and help patients understand their coverage options.

Responsibilities include rapid verification of benefits, data entry into AS400, and notifying leadership of payer trends to support financial integrity.

Qualifications

• High school diploma or GED required.
• Insurance verification experience and knowledge of medical terminology desirable.
• Excellent customer service and strong communication skills.

Responsibilities

• Verifies Medicare benefits via the CWF and identifies potential financial issues.
• Verifies insurance benefits within 24 hours for all admissions during regular business hours.
• Initiates calls to insurers to determine coverage, certification requirements and other policy limitations, deductibles and coinsurance.
• Enters verification into the AS400 system with timely and accurate notes if the patient is in-house.
• Reviews all insurance information loaded by the Assessment and Referral Department for accuracy and completeness.
• Notifies CBO Director of negative trends pertaining to payers.
• Scans admission documents onto Document Imaging.
• Completes review of Admission packets in a timely manner.

Skills

Communication skills

Customer service

Organizational skills

Listening skills

Education

High School Diploma/GED

Job description

Responsibilities

Rockford Center is a 138-bed mental health facility located in Newark, DE, providing easy access to a full complement of inpatient and partial behavioral health programs for children and adolescents, adults, and older adults. Rockford is the only child inpatient behavioral health facility in DE, offers an experienced and tenured senior management team, and serves New Castle County and northern Maryland.

Website: Psychiatric and Substance Abuse Services | Rockford Center | Newark, DE

Position Summary:

The selected candidate will be responsible for verifying patient insurance coverage and benefits for inpatient behavioral health services. This role involves coordinating with insurance providers to ensure accurate billing and reimbursement, as well as assisting patients with understanding their coverage options.

Responsibilities:

• Verifies Medicare benefits via the CWF and identifies potential financial issues timely. Informs Assessment Department and CBO Director of financial issues immediately upon identifying matter.
• Verifies insurance benefits within a 24-hour time frame for all admissions received during regular business hours. Weekend admissions should be verified no later than Monday of the following week.
• Initiates phone calls to insurance companies to determine extent of coverage, certification requirements and other policy limitations, deductible and co-insurance.
• Enters verification into the AS400 system, timely and accurately. Ensure that financial class and claim submission address is correct. Notes should be entered immediately following verification if patient is in-house.
• Reviews all insurance information loaded by the Assessment and Referral Department for accuracy and completeness. Identify and rectify problems.
• Notifies CBO Director of negative trends pertaining to payers.
• Scanning admission documents onto Document Imaging.
• Completes review of Admission packets in a timely manner.

Benefits

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Tuition Assistance

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

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Qualifications

Requirements

• High school diploma/GED.
• Previous insurance verification experience and medical terminology desirable.
• Strong communication skills, excellent customer service and organization skills, highly effective listening skills, and strong clinical skills.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.