Senior Insurance Verification Specialist

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

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