Sr. Insurance Specialist

St. Francis is NOW HIRING! Come join our Patient Registration team working as a Sr. Insurance Specialist!

This is a FULLTIME position. Hours will be Monday through Thursday 9A - 5:30P and Friday 8:30A -5:00P

As s Sr. Insurance Specialist you will be 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.

Additionally, you will:

• 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.

Qualifications:

• High school diploma or equivalent Required
• 3 to 5 years in customer service focused environment.
• Patient Account and/or Medical Insurance experience
• HFMA’s Certified Patient Account Representative (CPAR) designation preferred.
• 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.