Post-Acute Insurance Verification Specialist

Lifepoint Health; Vineland (NJ); On-site; USD 52,000 - 73,000; Full time

Job summary

Lifepoint Health is seeking an Insurance Verification professional to oversee post-acute care billing and verify benefits for Medicare, Medicaid, and commercial payors. The role interfaces with Clinical Liaisons, Admissions, and the Program Director to ensure accurate insurance data for admissions.

Qualified candidates typically have a Bachelor’s degree and 2–5 years in post-acute healthcare insurance verification or billing, with hands-on use of CWF and C-Snap.

Qualifications

• Bachelor degree preferred.
• 2–5 years post-acute healthcare experience in Billing and/or Insurance Verification.
• At least 1 year using Database Administration, Common Working File (CWF) and C-Snap.

Responsibilities

• Checks eligibility and verifies insurance information for Medicare and Commercial carriers.
• Utilizes Medicare Common Working File (CWF) to calculate Medicare Days.
• Uses payor online websites and direct phone contacts to check eligibility.
• Responds timely with financials and eligibility to the Clinical Liaison and Program Director.
• Completes Insurance Verification forms with all requested information.
• Performs data analysis using Excel, SharePoint and Kindred Applications.
• Keeps up to date with Medicare and state Medicaid changes affecting Post-Acute Care.
• Provides quarterly education on insurance changes and trends.
• Performs ad-hoc tasks as requested by the Program Director.
• Follows company policies and standards.

Skills

Insurance verification

Billing

Data analysis

Excel

SharePoint

Education

Bachelor's degree preferred

Tools

Common Working File (CWF)

C-Snap

Kindred Applications

Job description

Lifepoint Health is seeking an Insurance Verification professional to oversee post-acute care billing and verify benefits for Medicare, Medicaid, and commercial payors. The role interfaces with Clinical Liaisons, Admissions, and the Program Director to ensure accurate insurance data for admissions.

Qualified candidates typically have a Bachelor’s degree and 2–5 years in post-acute healthcare insurance verification or billing, with hands-on use of CWF and C-Snap.