Patient Accounts Insurance Verifier – Scheduling Support

Charleston Area Medical Center; Charleston (WV); On-site; USD 40,000 - 56,000; Full time

Job summary

Charleston Area Medical Center in Charleston, WV is seeking an Insurance Verification Specialist for the Central Scheduling unit at the Document Center Building. The role focuses on identifying patient responsibility and obtaining pre-authorizations prior to appointments, with documentation in patient records.

Responsibilities include reviewing encounters, contacting payers, using portals for verification, and ensuring accurate insurance data while coordinating with Case Management for inpatient

Qualifications

• High school diploma or GED required; healthcare terminology knowledge helpful.
• Experience with insurance verification in healthcare settings preferred.

Responsibilities

• Daily review of patient encounters to ensure insurance verification is completed.
• Use telephone to contact payers for verification and notifications.
• Use electronic portals/websites for verification and notifications.
• Document patient responsibility and estimates for payments (co-pays, deductible, coinsurance).
• Ensure preauthorization is completed and documented with appropriate dates.
• Complete notice of admission to payers for inpatient admissions.
• Accurately document insurance information in the patient record.
• Communicate next steps to Case Management/Utilization Review for inpatient authorizations.
• Obtain ambulatory infusion pre-authorizations for CAMC Health Systems.
• Review faxed documentation to confirm preauthorization and accuracy in the patient record.

Skills

Medical terminology

Insurance procedures

CPT/HCPCS/ICD-10 codes

Education

High School Diploma or GED

Tools

Electronic portals

Job description

Charleston Area Medical Center in Charleston, WV is seeking an Insurance Verification Specialist for the Central Scheduling unit at the Document Center Building. The role focuses on identifying patient responsibility and obtaining pre-authorizations prior to appointments, with documentation in patient records.

Responsibilities include reviewing encounters, contacting payers, using portals for verification, and ensuring accurate insurance data while coordinating with Case Management for inpatient