Franciscan Health

Insurance Verification Representative

Franciscan Health

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $19 - $25 per hour

Job Level

JuniorMid-Level

About the role

  • Review clinical documentation in charts for accuracy and to obtain information updates
  • Obtain and communicate information on patients' eligibility status with insurance companies
  • Use Payor website, verbal communication to determine eligibility
  • Collaborate with other departments within the hospital
  • Collect, analyze, and record all required demographic, insurance/financial, and clinical data
  • Conduct follow-up with insurance carriers, physicians, and other stakeholders
  • Document financial and pre-certification information
  • Refer patients to Financial Counselors

Requirements

  • Preferred Associate's Degree
  • Required High School Diploma/GED
  • 2 years Revenue Cycle, collections, customer service or cash application.
  • Preferred 1 year pre-cert experience
  • Required 1 year Medical and managed care contract terminology
  • Preferred Medical Assistant
  • Preferred Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)
Benefits
  • Health insurance
  • Comprehensive benefit offerings

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
clinical documentation reviewdata analysiseligibility determinationfinancial documentationpre-certificationinsurance verificationrevenue cycle managementcollectionscustomer servicecash application
Soft skills
communicationcollaborationorganizational skillsfollow-upinterpersonal skills
Certifications
Certified Coding Specialist (CCS)Medical Assistant