Recognized for Excellence. Chosen for Caring.
Human Resources: 700 Lawn Avenue, Sellersville, PA 18960  |  215-453-4874
Insurance Verification Specialist - Patient Registration
Full Time, 9am-5:30pm, Monday-Friday
Sellersville, PA 18960

Responsibilities

The Insurance Verification Specialist is responsible for obtaining pre-verification of insurance for patients and communicating insurance coverage, eligibility and co-pays to all patients receiving elective procedures. Duties include, but are not limited to:
  • Accurately entering all benefit and precertification information required for billing purposes.
  • Utilizing the Referral/Reservation form and Pre-Admission letter to enter pertinent data for maintaining quality information.
  • Obtaining pre-certifications when necessary.
  • Updating insurance information to staff in regards to referral and authorizations should they be required.
  • Maintaining ongoing knowledge of insurance plans by reading insurance memos and bulletins.
  • Ability to recognize patients in financial need and provide charity applications and/or medical assistance applications.
  • Resolving outstanding insurance issues prior to admission.
  • Maintaining pre-maternity lists and insurance work lists to ensure notification of co-pays is sent out to mothers due within 2 months of their expected delivery.
  • Meeting with inpatients that have a balance due before they are discharged.

Qualifications

EDUCATION AND EXPERIENCE:
  • High school diploma/GED required.
  • Over 1 to 3 years of CPT and ICD coding and insurance billing required.
  • Bachelor's degree in Healthcare Administration, Business or similar field of study preferred.

BENEFITS:
  • Medical, free dental, vision insurance for full time and part time
  • 403B
  • Pension plan
  • On-site discounted child care center
  • Tuition reimbursement up to $5250 per year
  • Free life insurance
  • Free parking
  • Paid time off
  • Sick time
  • Flexible spending accounts
  • Employee referral bonus
Grand View Health is an equal opportunity employer.
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