Insurance Verification Rep - FT

Virtua
United States, New Jersey, Mount Laurel
Dec 20, 2024
At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community.If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 otherlocations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through ourEat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: PACCT - 2000 Crawford Place Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Job Information: Schedule: Monday - Friday 7:30am - 4:00pm Job Summary: Responsible for verification and to ensure completion of insurance, and presence of an authorization/referral/notice of admission for various account types. Demographics are audited to assure accuracy. Updating various payer websites and payer communications is necessary. Communication with various departments, including utilization review, patient access and patient is done to expedite the process. May provide assistance to customers on financial counseling. This is all done with the goal of a clean bill and authorized service to support the revenue cycle and payment of a bill. Position Responsibilities: Verification and obtaining of authorizations/precertification/notice of admission. Utilization of payer websites, faxes, and phone. Communicating with office site staff when authorization is needed. Identifying an issue and addressing the issue with the site. Assisting departments in regard to verification/authorization. Updating and auditing demographics including insurance information on accounts. Assisting and directing patients for financial assistance. Position Qualifications Required: Required Experience: 2-3 year experience with Insurance Verification Understanding of third party reimbursement and methodologies for all third party payers, especially pre-certification and COB regulations Outstanding registration skills with strong insurance knowledge Demonstrated Virtua Values Required Education: High School Diploma Training / Certification / Licensure: EPIC experience