Insurance Verification Specialist Job at Virginia Hospital Center
Job Detail:
Insurance Verification Specialist
The Insurance Verification Clerk verifies registration information and insurance coverage eligibility by using online tools and system applications. Secures and documents authorization for scheduled/non-scheduled inpatient and ambulatory surgical procedure and outpatient radiology procedures. Ensures that all encounter information is correct for claim processing; responsible for communications with the patient and or designated individual; physician's office, utilization management, business office and insurance companies to secure specific services and requests.
Come join a hospital dedicated to you and your career!
VHC Health is a 437-bed nationally recognized Hospital and teaching facility that has been delivering high quality care to the Washington, DC metropolitan area for over 75 years. VHC is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare organizations), a designated Level II Trauma Center and a recognized Magnet Hospital by the American Nurses Credentialing Center. We are proud to announce that the Leapfrog Group has awarded the hospital with an 'A' grade in Hospital Safety for the 19th year in a row, achieved an Outstanding Patient Experience Award™ for the 10th year in a row and VHC has ranked Number 2 in “Best Hospitals” in the Washington, DC metropolitan area by U.S. News and World Report's 2021-2022 rankings. At VHC we are always striving to provide continued excellence and growth for our employees as well as top notch care for our patients. Qualifications:
Monday-Friday 9a-5:30p
- On-Site position
Insurance Verification Specialist
The Insurance Verification Clerk verifies registration information and insurance coverage eligibility by using online tools and system applications. Secures and documents authorization for scheduled/non-scheduled inpatient and ambulatory surgical procedure and outpatient radiology procedures. Ensures that all encounter information is correct for claim processing; responsible for communications with the patient and or designated individual; physician's office, utilization management, business office and insurance companies to secure specific services and requests.
Come join a hospital dedicated to you and your career!
VHC Health is a 437-bed nationally recognized Hospital and teaching facility that has been delivering high quality care to the Washington, DC metropolitan area for over 75 years. VHC is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare organizations), a designated Level II Trauma Center and a recognized Magnet Hospital by the American Nurses Credentialing Center. We are proud to announce that the Leapfrog Group has awarded the hospital with an 'A' grade in Hospital Safety for the 19th year in a row, achieved an Outstanding Patient Experience Award™ for the 10th year in a row and VHC has ranked Number 2 in “Best Hospitals” in the Washington, DC metropolitan area by U.S. News and World Report's 2021-2022 rankings. At VHC we are always striving to provide continued excellence and growth for our employees as well as top notch care for our patients.
- High School diploma or equivalent preferred
- Previous experience in the medical field preferred
- Experience in the field of health insurance, knowledge of medical terminology, knowledge of general radiology procedures and knowledge of HIPAA Regulations required
- Process verification and obtain authorization via email request(s) from specific department which has been prior arranged. Includes request prior to services being scheduled
- Verify and complete at least 30 encounters per day and at least 150 encounters per week. All completed encounters are coded appropriately in the ONTRAC system as well documenting updates in Soarian Financials
- Verification to third party billing systems. Certification of coverage, policy information, claim addresses are obtained for each insurance carrier. Any necessary corrections are made to produce an error free claim
- The verifier is responsible for obtaining the correct ID number, claim address, date of injury (DOI), adjuster name and contact number as well as the approval. All documentation is entered in Soarian Financial and or scanned into EDM
- Verifies registration information. All patient/guarantor information and insurance plans are correct. Revisions are updated in the Soarian Financials
- Paid Major Holidays
- Generous Paid Time Off / Vacation
- Sick Time
- Health Insurance
- Dental Insurance
- Undergraduate Student Loan Repayment
- Flexible Spending Accounts (FSA)
- Health Savings Account (HSA)
- Health Fitness & Education Class Discounts
- Employee Wellness Benefits
- Hospital Discount for Employees and Family
- VHC Retirement Program
- Tuition Reimbursement
- Free onsite parking
- Commuter Benefits
- Career Coaching
- Family Leave
- 401(k) + Match
- and much more!
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