Insurance Verification Specialist
Novant Health
Job Summary
Insurance Verification Specialist
+ Ensure accurate insurance verification including coverage validation, benefits assessment, and coordination of benefits.
+ Review authorization requirements and secure approvals for surgeries, radiology/ancillary appointments, and hospital stays.
+ Collaborate with hospital departments such as admitting/registration, financial counseling, and utilization review to streamline processes.
+ Communicate regularly with provider offices (surgery schedulers, patient service coordinators) to initiate authorizations, gather clinical information, and relay insurance details.
+ Contact insurance providers via phone and web portals to verify patient benefits, check authorization requirements, and monitor authorization status.
+ Manage inbound and outbound calls professionally to support smooth workflow.
+ Contribute to enhancing patient and team member experiences while reducing denials and write-offs through diligent verification and authorization processes.
Responsibilities
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
+ Our team members are part of an environment that fosters team work, team member engagement and community involvement.
+ The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
+ All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
Qualifications
+ Education: High School Diploma or GED, required. 2 Year / Associate Degree, preferred.
+ Experience: Minimum one year in patient access, registration, billing, insurance and/or pre-certification, any call center or customer service experience; required. Experience with insurance carriers or third party administrators is preferred.
+ Additional skills required:
+ Excellent interpersonal and communication skills, experience and competency in customer relation skills in a professional environment. Ability to organize and prioritize work in a stressful environment. Ability to work effectively/productively as a member of a team and is self-directed in a remote work environment in various types of environments (e.g. onsite corporate locations, remote/home office).
+ Good problem solving skills. Basic medical terminology. Exemplary keyboarding skills and experience in patient registration systems (i.e. Epic) and familiarity with personal computers. Ability to perform several tasks simultaneously. Ability to drive/travel to multiple locations/facilities as needed.
+ Ability to understand how job performance affects the outcomes of key performance indicators such as denials and write-offs.
Job Opening ID
86570
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