Penn Medicine, University of Pennsylvania Health System · 2 days ago
Insurance Verification Analyst - Full Time
Lawrenceville, NJ
Full-time
Onsite
Entry Level
$18.11/hr - $28.86/hr
2+ years expPenn Medicine is dedicated to providing high-quality patient care, conducting innovative research, and educating future leaders in medicine. The Insurance Verification Analyst is responsible for obtaining insurance pre-certification and referrals for scheduled surgeries, ensuring accurate insurance information for timely reimbursement.
BiotechnologyEducationHealth CareMedicalTraining
Responsibilities
Performs follow up on assigned third party accounts for scheduled surgeries and diagnostic appointments.Follow up includes but is not limited to verifying eligibility, obtaining benefits, ensuring referrals, pre-determination and/or authorization requirements have been completed
Utilizes web based applications and or internet resources to follow up on outstanding items
Contacts insurance companies, physician offices, and patients as needed to verify coverage and authorization within established guidelines
Processes correspondence from insurance companies, case management and other departments within specified time limit
Provides patients with an estimate of their out of pocket expenses and attempts to collect payment and/or offers payment plan arrangements prior to visit
Determines and appropriately documents out of pocket responsibility for services as related to insurance contracts or PMPHFee Schedules (i.e. Self Pay Fee Schedule, Cosmetic Surgery List)
If necessary refers patient to Financial Counselor for financial assistance
Follows established department protocols to communicate rescheduling/cancellation of scheduled surgeries, procedures and appointments if authorization is not obtained prior to date of service
Reviews Verification Work queues to ensure that authorization and/or referrals are obtained as per the established timelines of the department
Works in collaboration with other departmental associates as well as other hospital associates supporting their efforts though teamwork and the acceptance of additional assignments
Is able to accurately and consistently interpret and readily explain various healthcare insurance plans coverage, benefits and patient payment responsibilities
Qualification
Required
H.S. Diploma/GED (Required)
At least two (2) years' experience working with healthcare insurance
Preferred
Bachelor of Arts or Science
Vocational / Technical School / Diploma Program preferred
Associate of Arts or Science
Associate's Degree preferred
Benefits
Prepaid tuition assistance programs
Company
Penn Medicine, University of Pennsylvania Health System
Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$70.9MKey Investors
BIRD FoundationWarren Alpert FoundationNational Cancer Institute
2025-01-22Grant
2023-01-03Grant· $9.7M
2022-08-18Grant· $5.7M
Leadership Team
Kevin Mahoney
Chief Executive Officer of University of Pennsylvania Health System
John Donohue
Vice President, Enterprise Services
Recent News
The Philadelphia Inquirer
2026-01-03
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