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Insurance Verification Specialist

Franciscan Point Surgery Center

 

Address   Franciscan Alliance
    12800 Mississippi Parkway, Pavilion C
    Crown Point, IN 46307

Hours  Days

Calendar  Full-Time

Education High School Diploma/ GED Required

WHAT WE NEED

Persistent & pleasant insurance experts

WHO WE ARE LOOKING FOR

Health insurance research, verification and documentation is not for the faint of heart. It can be a confusing field with as many different situations as there are patients. If you’re good at figuring out the details, chasing down the right people, and coordinating documents – we have a position that needs your skills. This is a specialized coordinating position with a mission: helping patients get the medical services they need.

Are you good at coordinating phone & email communications to obtain information and follow-up as needed? Do you have a way with details? Are you willing to solve the puzzle that can be health insurance verification? We’ve got a challenge with a purpose waiting for you.

 

WHAT YOU WILL DO
  • Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify patient information.
  • Collaborate with other departments within the hospital to align interdepartmental functioning, goals, and expectations as outlined in the SLA.
  • Refer patients to Financial Counselors as needed to finalize payment for services.
  • Conduct follow-up with insurance carriers, physicians, and other stakeholders that can validate and assist with actions and information needed in order to properly review, dispute or appeal denial until a determination is made to conclude the appeal.
  • Document financial and pre-certification information according to defined process in a timely manner.
  • Request and coordinate financial verification and pre-certification as required to proceed with patient care; document financial and pre-certification information according to defined process.
WHAT IT TAKES TO SUCCEED
  • Prior Revenue Cycle experience.
  • Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify patient information.
  • Collaborate with other departments within the hospital to align interdepartmental functioning, goals, and expectations as outlined in the SLA.
  • Refer patients to Financial Counselors as needed to finalize payment for services.
  • Conduct follow-up with insurance carriers, physicians, and other stakeholders that can validate and assist with actions and information needed in order to properly review, dispute or appeal denial until a determination is made to conclude the appeal.
  • Document financial and pre-certification information according to defined process in a timely manner.
  • Request and coordinate financial verification and pre-certification as required to proceed with patient care; document financial and pre-certification information according to defined process.


 

WHAT WE'RE LOOKING FOR
 

 

Experience

1 year of Revenue Cycle

 

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.