Insurance Verification II – Part Time – Virtual

This is a fully remote position, open to applicants in United States.

📋 Description

• Validate patient details and ensure that insurance payer plans are up to date.

• Investigate EPIC records for recent payer details when insurance information is not available.

• Reach out to physician offices or patients to gather coverage details.

• Elevate issues for authorization to avoid delays in patient services.

• Provide professional responses to patients, clerical staff, and insurance representatives.

• Update accounts while ensuring accuracy and confidentiality are maintained.

• Collect estimated self-pay amounts and organize payments with guarantors.

• Conduct financial assessments and identify patients without sufficient insurance.

• Assess potential eligibility for financial assistance programs, including Medicaid.

• Refer patients and guarantors to external funding assistance resources.

• Contact scheduled patients prior to admission to gather information and explain financial policies.

• Interview inpatients and selected self-paying outpatients to confirm insurance and financial details.

• Record collection activities, patient interactions, referrals, and account balances.

• Coordinate financial counseling alongside registration, utilization review, nursing, social services, and patient financial services.

• Verify insurance coverage, benefits, copayments, deductibles, and out-of-pocket maximums.

• Assist with prior authorizations and verify demographic and payer information.

• Monitor and follow up on outpatient authorizations.

• Process explanations of benefits and authorizations.

• Resolve insurance verification issues, coverage edits, and payer denials in work queues.

• Achieve productivity targets and report results of self-pay collections.

• Handle incoming calls and ensure requests are followed through.

• Maintain courteous relationships and deliver professional customer service.

• Complete mandatory training, attend designated departmental meetings, and fulfill other assigned tasks.

⛳️ Requirements

• High School Diploma or GED is required; an Associate's degree is preferred.

• A minimum of 1 year of experience in a healthcare or institutional setting is required.

• Proficient in computer/data entry is necessary.

• CHAA, CPAR, CRCR, or CRCR-P certification is required upon hiring; CRCR-P certification is acceptable within 120 days.

• Ability to communicate effectively with various members of the healthcare team.

• Strong written and verbal communication skills.

• Keen attention to detail.

• Self-motivated with a positive attitude.

• Strong problem-solving and critical-thinking abilities.

• Preferred working knowledge of patient registration systems.

• Intermediate skills in Microsoft Office Suite are preferred.

• Experience with Epic software is preferred.

• Ability to maintain necessary certifications through Continuing Education Units (CEUs).

• Capability to meet minimum productivity and registration accuracy requirements.

• Ability to serve as a preceptor for new patient access staff and students.

🏝️ Benefits

• Part-time work schedule.

• Virtual/remote work options.

• Supportive workplace environment.

• Engaging work in the healthcare field.

• Ongoing training and development through mandatory monthly, quarterly, and annual training sessions.

• Opportunity to act as a preceptor and mentor.

• Professional certification maintenance through Continuing Education Units (CEUs).