Community Health Systems Insurance Verify Rep in Easton, Pennsylvania

Description:

  1. Verifies all insurance benefits for Inpatient, Observation, surgical procedures, scheduled procedures and other high dollar procedures to determine if insurance coverage meets the standards of admission.

  2. Prioritizes daily work flow appropriately and complete assigned HSV and payors timely and in advance of scheduled service. Maintain 3-5 day verifications.

3 Correct note format is followed and complete. Comment codes are used correctly. Utilizes proper scripting when verifying benefits via telephone call.

  1. Meets insurance verification productivity. 40-60 radiology per 8 hr. shift, 60-80 per 8 hr. shift for Medicare radiology, or 20-40 for surgeries per 8 hr. shift.

  2. Willingness to cross-train in ÔÇťother duties assigned and learn additional functions to assist in achieving verification department goals.

6 Achieve and maintain verification department QA accuracy of 98 or greater.

Qualifications

Education: Must possess a high school diploma or equivalent. Must possess basic Medical Terminology. High regard for detail.

Experience: Desirable characteristics include two years of experience in a hospital or medically related environment. Must be able to follow directions and to perform work according to department standards when no directions are given. Must be emotionally mature and able to function effectively under stress.

Job: Business Office

Organization: Shared Services Center - Bethlehem

Location: PA-Easton

Requisition ID: 1823183