Insurance Verifier, FT Rotating (58026)

El Paso Childrens Hospital Corporation; El Paso (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

Paycom - ATS at El Paso Children's Hospital in El Paso, TX is seeking an entry-level Insurance Verification Specialist to verify insurance at registration for inpatient, outpatient and pre-op encounters. This role supports scheduling and uses integrated systems for electronic verification.

The position requires strong communication, basic computer skills and bilingual English/Spanish is preferred; one year of healthcare admitting or related experience is expected.

Qualifications

• One year health care admitting or scheduling experience or one year work experience in a related healthcare, business or finance position.
• Healthcare or financial background preferred.
• High school diploma or equivalent; Some college hours preferred; familiarity with medical terminology and ICD9 coding preferred

Responsibilities

• Verify insurance for in-patient, outpatient and pre-op encounters at time of registration.
• Perform electronic verification using integrated systems and web portals to submit authorization requests.
• Document co-pays, co-insurance, deductibles and physician information; contact third party payers.
• Initiate pre-authorization and secure admission notification for all payers.
• Coordinate CPT/ICD9 codes with community and referring physicians; submit authorization forms to payers timely

Skills

Communication

Bilingual

Analytical

Customer service

Education

High school diploma

Some college hours

Job description

Job Details

Level: Entry, Job Location: El Paso Childrens Hospital - El Paso, TX 79905, Position Type: Full Time, Job Shift: Rotating, Under the direction of the Scheduling Supervisor, responsible for insurance verification of in-patient, outpatient, and per-op encounters at time of registration. Performs electronic verification using integrated systems, and accesses web portals to submit electronic authorization requests. Utilizes fax back system for non-electronic payers. Contacts third party payers and documents co-payments, co-insurance, deductible amounts and primary care physician information. Initiates pre-authorization and secures admission notification for all payers. Coordinates clinical documentation, orders, CPT codes, ICD9 codes with community and referring physicians. Submits all required authorization forms to payers in timely manner to prevent rejections and denials.

Qualifications

Work Experience: One year health care admitting or scheduling experience or one year work experience in a related healthcare, business or finance position. Healthcare or financial background preferred.

Education and Training

• High school diploma or equivalent. Some college hours preferred.
• Training or educational background with medical terminology and familiarity with ICD9 coding preferred

Skills

• Ability to effectively and tactfully deal with employees, patients, visitors and the general public.
• Basic computer literacy and keyboarding skills required.
• Effective written and verbal communication skills required.
• Analytical and problem-solving skills required.
• Knowledge of commercial and managed care payers and terminology.
• Bilingual English/Spanish preferred.