Patient Access Service Representative

Northwell Health; City of Glen Cove (NY); On-site; USD 42,000 - 54,000; Full time

Job summary

Northwell Health in New York is seeking an Insurance Verification Specialist to perform comprehensive verification of health insurance coverage for discharge patients and outside referrals, ensuring accurate financial information is communicated to the care team.

You will verify primary payor data, notify nurses of changes, enter data into the system, and liaise between verification and reimbursement, with a focus on service excellence in a fast-paced healthcare setting.

Qualifications

• High School Diploma or equivalent required.
• 1–3 years of relevant experience required.
• Hospital experience preferred.
• Insurance verification experience preferred.
• Excellent customer service skills preferred.

Responsibilities

• Obtains all financial demographic information from the discharge planner for the organization and outside referrals.
• Verifies all required insurance information, including primary payor data.
• Notifies Nurses of any change in insurance information, as needed.
• Provides information on all insurance coverage and patient financial responsibility to discharge planner.
• Completes all required elements of the insurance verification form.
• Enters verified insurance information into computer.
• Acts as a liaison between verifications and reimbursement.
• Performs related duties as required. All responsibilities noted here are considered essential functions.

Skills

Customer service

Communication

Detail oriented

Multitasking

Education

High School Diploma

Tools

None

Job description

Job Description

Performs a complete verification check on all health insurance coverage. Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals. Demonstrates and promotes service excellence at all times.

Job Responsibility

• Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals.
• Verifies all required insurance information, including primary payor data.
• Notifies Nurses of any change in insurance information, as needed.
• Provides information on all insurance coverage and any patient financial responsibility to discharge planner.
• Completes all required elements of the insurance verification form.
• Enters verified insurance information into computer.
• Acts as a liaison between verifications and reimbursement.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Hospital experience, preferred.
• Insurance verification experience, preferred.
• Excellent customer service skills, preferred.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).