Insurance Verifier

CaroMont Health

Gastonia, NCJobSeen 2mo agoSeen in employer's feed 5 days ago

Gastonia, NCJobNo compensation foundSeen 2mo agoSeen in employer's feed 5 days ago

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At a glance

Compensation

No compensation found

Location

Gastonia, NC

Work Authorization

Not specified

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Requirements

Credentials this posting asks for.

Associate's degree

Job overview

CaroMont Health is hiring an Insurance Verifier. The Insurance Verifier is responsible for verifying insurance, obtaining initial authorization for treatments and procedures, and estimating and collecting patient responsibility. This role requires maintaining current knowledge of managed care and government program requirements to maximize reimbursement for services provided. The verifier must also be able to calculate and communicate amounts due to patients.

Key focus areas include Verify insurance, Obtain initial authorization for treatment/procedures, and Estimate and collect patient responsibility.

Successful candidates bring Two Year College Degree In Business Administration Or Equivalent, 1+ Years Patient Accounts Experience, and Current Knowledge Of Managed Care And Government Programs. Important skills include Insurance Verification, Initial Authorization, Estimation And Collection, Managed Care Knowledge, Government Programs Knowledge, and Calculate Amounts Due. Preferred (not required): Customer Service.

Skills & qualifications

RequiredNice to have

Skills

Insurance VerificationInitial AuthorizationEstimation and CollectionManaged Care KnowledgeGovernment Programs KnowledgeCalculate Amounts DueCommunicationDecision MakingTyping 45 WPMCustomer Service

Qualifications

Two Year College Degree in Business Administration or Equivalent Work Experience1 Year Patient Accounts Experience in Healthcare Environment

Full job description

Job Summary: Responsible for insurance verification, initial authorization for treatment/procedures, estimation and collection and/or resolution of patient responsibility on all inpatients, observations, and scheduled outpatient procedures as defined within the scope of their population. Must maintain current knowledge of requirements for managed care and government programs to maximize reimbursement for services provided. Ability to calculate and communicate amounts due to patient population served.

Qualifications: Education and formal training: Two year college degree in Business Administration or equivalent work experience. Minimum of 1 year experience in patient accounts in healthcare environment. Current knowledge of managed care and government programs required. Customer service experience preferred. Special Skills/ Abilities: Excellent communication and decision making skills. Ability to type 45 WPM.

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