Insurance Verifier
IASIS Healthcare - Sharon, PA
Apply NowJob Description
Insurance VerifierClick Here to Apply OnlineJob DescriptionLocation: Sharon Regional Medical CenterPosted Date: 9/18/2024Job Type: Full TimeDepartment: 3700.72091 Central SchedulingAt Sharon Regional Medical Center, we are committed to improving the health of our communities by delivering exceptional, personalized health care with dignity, compassion, and respect. Our continued focus on the patient experience informs our caregivers about how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized support of this, we commit ourselves to the following values:CompassionAccountabilityRespectExcellenceStewardshipIf you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, our organization may be a good fit for you.Job Summary:A verification team is responsible for conducting financial analytics into a patient's overall financial responsibility as it relates to upcoming care within the Steward Healthcare System. Analysis payer contracts as well as state and federal regulatory guidelines to maximize revenue realization. This individual will ensure that all aspects of the account are correct and verified. This will include verifying insurance is active; authorization is obtained and attached if needed, patient liability created if needed and communicating any issues to Scheduling, Authorization, Financial Counselors and Management as needed. These efforts will result in improving patient collections and decreasing denials. Interactions will primarily be conducted with insurance companies, physicians, and patients, via phone, email, or payer websites. Authorization team members to be proficient in Windows, Microsoft Office, and Excel, Meditech, and Athena, Passport, Craneware and Carepricer. Job Responsibilities:Referrals/AuthorizationsCounsel patients on prior authorization, referral requirements, and insurance networks as prompted by electronic insurance correspondence.Evaluate referrals and link to appropriate upcoming appointments.Submit online requests for prior authorization to be completed by the Prior Authorization department.Track and manage the request through to the appointment resolution.Counsel patients on financial responsibility form if a referral is not obtained by time of service.Other miscellaneous tasks could include:Assist with the orientation and training of other employees.Maintains or initiates faxes. Requirements: High School Diploma or Equivalent Proficient in Windows, Microsoft Office, and Excel, Meditech, Craneware and Passport. One Year Minimum healthcare related experience. Previous medical scheduling and insurance verification experience (preferred) Background Clearances (as required by law)Benefits:Medical, Dental, Vision401KVacation time and Sick TimeAbout Steward Health CareNearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers with unrivaled coordination of care, and our communities greater prosperity and stability.As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.Steward is among the nation's largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.Based in Dallas, Steward currently operates 33 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.Steward Health Care is proud to be a minority, physician-owned organization. Diversity, equity, inclusion, and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or expression or any other non-job-related characteristic. Application InstructionsPlease click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you
Created: 2024-09-20