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Munson Healthcare · 1 day ago

Insurance Verifier - Full Time - Traverse City, MI

Traverse City, MI

Full-time

Onsite

Entry Level

1+ years exp

Munson Healthcare is a healthcare provider, and they are seeking an Insurance Verifier to manage the verification of insurance eligibility and claims. The role involves handling confidential medical information, ensuring compliance with billing requirements, and assisting patients with financial matters.

Hospital & Health Care

Responsibilities

Able to establish priorities and meet tight deadlines with strong problem-solving ability

Exercises a high degree of control over confidential medical information

Inputs and updates all insurance information in appropriate screens

Verifies eligibility of all insurances available online or by phone

Identifies primary and secondary insurance. Inputs insurance information in correct COB order

Obtains claim numbers and verifies that claims are established for Workmen’s Comp and Auto Insurance

Identifies the need for pre-authorization information, makes decisions relating to insurance eligibility utilizing several online systems available at MMC. Scheduled patients: Obtains and documents pre-authorization as appropriate for procedure. Emergent patients: obtains pre-authorization guidelines and communicates information to Utilization Management

Follow up on all verification issues in a timely manner and communicate information to proper departments regarding information obtained

Responsible to keep current on billing requirements from third parties such as, Blue Cross/Blue Shield, Medicare, Medicaid, and all other health insurance carriers

Performs insurance verification, obtains pre- and retro- certification information for all inpatient activity. Communicates appropriate information to the Utilization Management team as required

Refers patients to Financial Counselors to obtain financial assistance and /or payment arrangements when appropriate

Interprets and initiates problem solving, prioritizes work activity

Keeps educational information, manuals and guides at team level updated and current

Works various reports

Meets productivity and quality standards

Identifies and documents patient financial liability

Qualification

Insurance Verification systemsMicrosoft OfficeOralWritten communicationAdvanced keyboard skillsProblem-solving abilityPatient interactionAdaptabilityDocumentation skills

Required

2 Year / Associate Degree or Equivalent experience

1.5 years of related experience in healthcare

Advanced keyboard, mouse, computer and Microsoft Office skills. Must have knowledge and ability to learn, access and utilize 10+ of the computer programs listed below within 90 days of hire

Must possess exceptional oral and written communication skills. Ability to demonstrate effective communication with patients, Dr's offices and technicians within hospital departments, and create accurate documentation with information gathered. Must be warm, friendly, and sensitive to the feelings and concerns of others

Ability to demonstrate effective communication with Insurance companies to obtain, verify, and create accurate documentation with information gathered

Ability to perform online insurance verification through the Internet

Must demonstrate ability to adapt to change and keep up with continued advanced education requirements