Patient Access Services Representative

Northwell Health; Melville (NY); On-site; USD 42,000 - 60,000; Full time

Job summary

Northwell Health in Melville, NY seeks an Insurance Verification Specialist to verify coverage and collect patient financial information. You will coordinate with discharge planners and refer outside referrals as needed.

The role requires attention to detail, ability to enter data accurately, and communication with care teams. Prior experience in insurance verification is preferred, with salary details described as a good faith range.

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience required.
• Experience obtaining pre-authorizations preferred.
• Experience working in a remote setting preferred.
• Salary details referenced as good faith and may change.

Responsibilities

• 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.

Skills

Insurance verification

Data entry

Communication

Education

High School Diploma or equivalent

Job description

Job Description

194362

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.
• Experience obtaining pre-authorizations preferred.
• Experience working in a remote setting 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).