Senior Insurance Verification Specialist

Join St. Francis–Emory Healthcare, a 376-bed community-connected hospital in Columbus, GA, that blends cutting-edge care with hometown purpose. As part of the ScionHealth network, St. Francis has been recognized and awarded multiple high-performing honors by U.S. News & World Report, and received multiple disease-specific certifications from the Joint Commission, and was a rated Top Large Hospital in Georgia. St. Francis also delivers advanced heart, orthopedic, and women’s care services. At St. Francis, you will experience a culture of excellence where your work directly shapes the health of our community.

Job Summary

Responsible for collecting and entering complete and accurate demographic and insurance information prior to the patient’s arrival. Verifying that the pre-certification requirements of the insurance companies have been met. Verifying the benefits coverage and quantifying the patient liability portion. Contacting the patient, the day before arrival to remind them of the appointment, set the expectation for payment, and answer any questions the patient may have.

Essential Functions

• Pre-registers Outpatients, and Inpatients.
• Verifies that the insurance coverage is in effect, determines the amount of coverage & patient liability.
• Verifies that Pre-certification has been obtained whenever appropriate & works with the Physician’s office staff to obtain it whenever needed.
• Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
• Contacts scheduled patients the day prior to their appointment to confirm they are coming and verify that all demographic & insurance information is correct.

Knowledge/Abilities/Skills/Expectations

• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.

Education

• High school diploma or equivalent Required

Licenses/Certifications

• HFMA’s Certified Patient Account Representative (CPAR) designation preferred.

Experience

• 3 to 5 years in customer service focused environment.