Insurance Verifier

Opelousas General Health System; Opelousas (LA); On-site; USD 35,000 - 48,000; Full time

Job summary

Opelousas General Health System is seeking an Insurance Verifier to support verification and pre-certification for scheduled and unscheduled admissions. The role requires accurate documentation of benefits, clear communication with physicians, and understanding Medicare/Medicaid/HMO/PPO rules.

The ideal candidate will have 1 year of hospital admissions or billing experience and a high school diploma, with the ability to assist registrations during busy periods and help patients arrange payment

Qualifications

• Education: High School Diploma required.
• Experience: 1 year of experience in Hospital admissions and/or billing experience.

Responsibilities

• Answers basic insurance questions and /or refers appropriately as necessary.
• Verifies and pre-certifies insurance according to department policy
• Documents all activity relative to the account.
• Maintains good communication with physicians and staff to promote a good working relationship.
• Demonstrates a clear understanding of insurance pre-certification requirements.
• Enters all relevant insurance benefits and pre-certification information into computer.
• Keeps UR and Business Services department updated on any changes in status of all in-house patients.
• Demonstrates a basic understanding of Medicare, Medicaid, HMO and PPO rules, regarding inpatient vs. Observation stays and pre-certification requirements.
• Assist with registrations when needed in extremely busy conditions.
• Helps patients arrange payment for services that are not covered by their insurance companies

Education

High School Diploma

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Verifier

8 days ago Requisition ID: 2777

Representative is responsible for performing all functions necessary to obtain verification and pre-certification on all scheduled and non-scheduled emergency and direct admits. The person in this position will be accountable for accuracy of all insurance benefit/pre-certification information prior to billing.

• Answers basic insurance questions and /or refers appropriately as necessary.
• Verifies and pre-certifies insurance according to department policy
• Documents all activity relative to the account.
• Maintains good communication with physicians and staff to promote a good working relationship.
• Demonstrates a clear understanding of insurance pre-certification requirements.
• Enters all relevant insurance benefits and pre-certification information into computer.
• Keeps UR and Business Services department updated on any changes in status of all in-house patients.
• Demonstrates a basic understanding of Medicare, Medicaid, HMO and PPO rules, regarding inpatient vs. Observation stays and pre-certification requirements.
• Assist with registrations when needed in extremely busy conditions.
• Helps patients arrange payment for services that are not covered by their insurance companies

Education: High School Diploma required.

Experience: 1 year of experience in Hospital admissions and/or billing experience