Visit Eligibility Validation Coordinator, Nucleus Building, 8:00a-4:30p

University of Louisville Physicians; United States; On-site; USD 38,000 - 52,000; Full time

Job summary

UofL Health in Louisville is seeking a Visit Eligibility Validation Coordinator to improve patient experience and revenue cycle performance by verifying coverage before ambulatory visits.

You will verify insurance eligibility seven days prior to appointments, identify guarantor and subscriber information, and determine filing order. Strong communication and computer skills are essential for success.

Qualifications

• Education: High School Diploma or Equivalent required.
• Experience: 1 year of previous insurance verification preferred.
• Proficient with Outlook Office Suite and related applications.
• Ability to multitask and communicate with multiple parties.
• Strong service mindset and professionalism in patient care.

Responsibilities

• Verify patient insurance eligibility 7 days prior to appointment.
• Identify guarantor and subscriber information for visits.
• Determine filing order and verify visit benefits and patient responsibility.
• Obtain required authorizations/referrals from payers.
• Complete registration items with patient prior to visit.
• Provide exceptional customer service on calls and document accordingly.
• Maintain payer coverage knowledge and portal access.

Skills

Outlook

Word

Teams

Multitasking

Customer service

Teamwork

Problem solving

Medical terminology

Self-motivation

Education

High School Diploma or Equivalent

Tools

Epic EHR

Job description

Primary Location: Nucleus Building - ULP - AMG Address: 300 E. Market St. Louisville, KY 40202 Shift: First Shift (United States of America)

Job Description Summary:

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists, and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description:

Position Summary and Purpose

The visit eligibility validation coordinator position exists to improve patient experience and revenue cycle performance by verifying coverage and benefits prior to ambulatory clinic visits. The VEVC team is a highly productive, metric-driven team, that provides support to clinical operations through previsit insurance work and live phone support.

Essential Functions:

• Verify patient insurance eligibility 7 days prior to appointment.
• Identify appropriate guarantor for each visit.
• Identify appropriate subscriber information for all coverages associated with the visit.
• Accurately determine filing order.
• Verify visit benefits and accurately calculate patient responsibility for visit including copays, deductibles, coins, and self-pay deposits.
• Obtain any authorization/referral information required for visit from payer.
• Complete all necessary registration items with patient prior to visit.
• Answer all incoming calls with exceptional customer service with a focus on compassionate patient-centered care.
• Document appropriately in accordance with department expectations.
• Meets or exceeds productivity standards in the completion of daily assignments and accurate production.
• Build and maintain awareness of payer coverage rules and guidelines as well as payer portal access and user knowledge.

Job Requirements (Education, Experience, Licensure and Certification):

Education: High School Diploma or Equivalent required (required)

Experience: 1 year of previous insurance verification experience (preferred)

Job Competency: Knowledge, Skills, and Abilities critical to this role:

• Proficient in use of Outlook Office Suite, including Outlook, Word, and Teams.
• Multitasking, able to manage multiple cases and communication with multiple parties regarding various work topics throughout the day.
• Service-mindset, willing to support clinics and facilities in the care of patients it a high level of customer service and professionalism.
• Team-mindset, willing to support coworkers in various specialties.
• Problem-solving, ability to apply knowledge in unfamiliar situations.
• Medical terminology, ability to review clinical documentation and extract pertinent information for insurance authorization purposes.
• Self-motivation, intrinsically driven towards excellence in quality, learning, and productivity.

Language Ability:

Must be able to communicate effectively in both verbal and written formats.

Reasoning Ability:

Able to think critically through complex patient situations, process improvements, and evidence-based practice.

Computer Skills:

• Required: Able to learn and maintain access to multiple websites and applications required for daily work
• Preferred: Familiar with Epic EHR

Additional Responsibilities:

• Demonstrates a commitment to service, organization values, and professionalism through appropriate conduct and demeanor at all times.
• Maintains confidentiality and protects sensitive data at all times.
• Adheres to organizational and department-specific safety standards and guidelines.
• Works collaboratively and supports efforts of team members.
• Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff, and the broader health care community.

UofL Health Core Expectation:

At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:

• Honoring and caring for the dignity of all persons in mind, body, and spirit
• Ensuring the highest quality of care for those we serve
• Working together as a team to achieve our goals
• Improving continuously by listening, and asking for and responding to feedback
• Seeking new and better ways to meet the needs of those we serve
• Using our resources wisely
• Understanding how each of our roles contributes to the success of UofL Health

UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.