Patient Access Services Representative

Northwell Career Site; Terryville (NY); On-site; USD 25,000 - 34,000; Full time

Job summary

Northwell Health is seeking an Insurance Verification Specialist to perform complete verification of health insurance coverage. You will obtain financial demographic information from the discharge planner and coordinate with outside referrals to ensure accurate patient billing.

Responsibilities include verifying all insurance data, notifying nurses of changes, documenting findings, and acting as a liaison between verification and reimbursement teams, while upholding service excellence.

Qualifications

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

Responsibilities

• Obtain and verify all financial demographic information from discharge planner and outside referrals.
• Verify primary payor data and other insurance details.
• Notify nurses of insurance changes as needed.
• Provide insurance coverage information and patient financial responsibility to discharge planner.
• Complete insurance verification forms.
• Enter verified insurance information into computer.
• Serve as liaison between verifications and reimbursement.
• Perform related duties as essential functions under ADA.

Skills

Communication skills

Customer service

Verbal/written communication

Education

High School Diploma

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.
• Insurance verification experience, preferred.
• Hospital experience, preferred.
• Excellent written and verbal communication skills, 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).