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Open nowPosted yesterday

Insurance Verifier-8110

Kingman Regional Medical Center179 open roles

Where
Kingman, AZ, United States
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Your applicationOpen nowInsurance Verifier-8110Kingman Regional Medical Center · Kingman, AZ, United States

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  2. CV RocketCV written for this posting.

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  4. CV RocketApplied on Kingman Regional Medical Center's own form.

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The clock on this job

Early applications get read.

12.4% of postings close within 7 days. Measured by our own scanner across the market. Kingman Regional Medical Center postings stay open a median of 12 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.4%7 days
  4. 20.0%14 days
  5. 35.5%30 days
  6. 58.6%60 days
This job: posted yesterday

Kingman Regional Medical Center median: 12 days open

The posting

Job Description

Staff Position Description

Position Title: Insurance Verifier Position Code: Verifier-8110

Department: Patient Access Safety Sensitive: YES

Reports to: Admitting Supervisor/Manager Exempt Status: NO

Position Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision of providing the region’s best clinical care and patient service through an environment that fosters respect for others and pride in performance.

Key Responsibilities [List of material responsibilities and essentials duties which must be completed in achieving the objectives of the position]

· Provides excellent customer service and adheres to the Behavioral Expectations Agreement.

· Verifies insurance coverage and obtains necessary authorization on observation and inpatient accounts within 24 hours or the next working day (to include completing DES applications for self-pay patients.) Obtains extensions as appropriate.

· Conducts financial counseling and collect patient liability amounts.

· Protects the patients and the hospital financial reimbursement by inputting authorization information, verifies the insurance and ensures that all notification/ authorizations are completed according to financial class department policy.

· Conducts duties in order to protect the financial integrity of the hospital.

· Provides guidance and instructions in the interpretation of admitting policies, procedures and practices.

· Inputs notes pertinent to financial information to assist billing department in payment of the claim and drops insurance flags on accounts.

· Contacts responsible party of inpatient accounts either in person or by telephone to advise of insurance coverage rate when insurance does not cover 100%.

· Professionally advises responsible party of payment requirements and follows hospital policy in establishing payment arrangements.

· Completes self-pay assistance applications when appropriate. Preferably prior to discharge.

· Audits all inpatient files to ensure that insurance cards, orders and other admission documents are complete and copied as needed for scanning.

· Ensure admissions documents are scanned and perform Quality Assurance audits on your scanned documents prior to destroying.

· Maintains statistical information and completes month end stats timely (by the 4th day of the following month) and accurately.

· Maintain admission reports daily (billing error report – admissions/discharge summary).

· Consistently demonstrates a willingness to assist co-workers in a courteous manner to support department efficiency.

· Ability to flex into admitting representative tasks at any given notice.

· Performs and communicates in a highly professional manner at all times.

· Consistently demonstrates the ability to assess a situation from a variety of perspectives.

· Considers alternatives and chooses the most appropriate course of action.

· Other duties as assigned.

· Monitors communication with patients regarding their admission, ensures positive outcome, safeguards the public image of the hospital.

· Demonstrates enthusiasm and self-motivation in performing job duties.

Qualifications [Statements regarding minimum educational and experience qualifications, required proficiencies with specialized knowledge, computer proficiencies, military service, required certifications, etc.]

· Excellent customer service skills, and the ability to communicate effectively with others.

· Manage multiple priorities and tasks.

· Maintain attention to detail.

· Ability to organize and sort the daily workload while utilizing effective interpersonal skills through both telephone and face to face contact.

· Knowledge of and have the ability to use computer hardware and software applications.

· Knowledge of medical insurance, managed care and basic business office functions.

Education: High school diploma or equivalent

Experience: Minimum of two (2) years in hospital or medical office business setting

Preferences [Preferred attributes for the position which are not absolutely required in the minimum qualifications (i.e., multi-lingual, master’s degree)]

Education: Some college education preferred.

Experience:

· Financial counseling experience.

· Insurance billing and medical terminology.

Special Position Requirements [Optional section: any travel, security, risk, hazard or related special conditions which apply to the position]

Exposure Categories: Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues

Work Requirements [Optional section: work requirements for physical or other important issues which relate to the job]

· Position requires sedentary work, occasionally carrying small objects short distances.

· Must be able to sit at a terminal for up to seven (7) hours daily.

· Must be able to bend, stoop and reach for files and supplies.

· Must be able to get up from chair regularly to get paperwork.

Date Staff Position Description Created / Revised: 03/01/2019

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