Patient Access Services Representative

Northwell; Village/Town of Mount Kisco (NY); On-site; USD 42,000 - 60,000; Full time

Job summary

Northwell in New York is seeking an Insurance Verification Specialist to perform comprehensive checks on health insurance coverage. You will collect financial demographic information from the discharge planner for in-network and external referrals and communicate changes to the care team to promote accurate billing and service excellence.

In this role you verify primary payor data, enter verified information into the billing system, and act as a liaison between verification and reimbursement.

Qualifications

• High School Diploma or equivalent is required.
• 1-3 years of relevant experience is required.

Responsibilities

• Obtains 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 the discharge planner.
• Completes all required elements of the insurance verification form.
• Enters verified insurance information into the computer.
• Acts as a liaison between verifications and reimbursement.

Skills

Insurance verification

Healthcare billing

Discharge planning liaison

Education

High School Diploma or equivalent

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 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.

Work Shift:

3:00PM-11:00PM /Alternate Weekends (Sat/Sun) & Holiday Coverage

Job Qualifications:

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.

*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).