PAS Insurance Verification II

Wellstar Health System - Marietta, GA

Full-time - Entry Level

Marietta, GA

Ambulatory Health Care Services

About the position

The Insurance Verification Specialist plays a crucial role in ensuring that patient insurance information is accurate and up-to-date. This position involves verifying insurance coverage, collecting self-pay balances, and assisting patients with financial arrangements. The specialist must maintain confidentiality and accuracy while meeting productivity benchmarks in a fast-paced healthcare environment.

Responsibilities

• Verify patient information and confirm all insurance payer plans are up to date.
• Research EPIC history for recent visit payer information if no insurance is present.
• Contact physician practices or patients to obtain coverage forms as needed.
• Respond to questions from patients, clerical staff, and insurance companies professionally.
• Update accounts and maintain accuracy and confidentiality of patient information.
• Attempt to collect estimated self-pay balances at the earliest possible point.
• Monitor in-house accounts and make financial arrangements with guarantors for payment.
• Complete financial evaluation forms to document guarantors' financial situations.
• Identify patients without adequate insurance coverage and contact them for payment arrangements.
• Maintain a list of healthcare financial assistance programs and refer patients as needed.
• Work efficiently within designated time frames to ensure continuity of information and cash flow.
• Contact scheduled patients to obtain pre-admission information and explain financial policies.
• Interview inpatients and select outpatients to verify insurance and financial information.
• Document all self-pay account collection activities and patient interactions.
• Coordinate financial counseling activities with various departments.
• Verify insurance coverage and benefits, exceeding monthly quotas consistently.
• Report results of self-pay collection activity to the supervisor daily.
• Complete appropriate error/issues in Work Queues and resolve Payor Denials as indicated.
• Attend departmental meetings and complete mandatory training as required.

Requirements

• High school diploma or GED required; Associate's Degree preferred.
• Minimum 1 year experience in healthcare or institutional work setting required.
• Computer/data entry experience required.
• Ability to communicate effectively with various members of the healthcare team.
• Effective written and verbal communication skills, attention to detail, and a positive attitude are essential.
• Effective problem-solving and critical thinking skills are necessary.
• Working knowledge of patient registration systems and intermediate Microsoft Office Suite preferred.
• Epic experience preferred.

Nice-to-haves

• Experience with healthcare financial assistance programs.
• Knowledge of insurance verification processes and systems.

Benefits

• Health insurance coverage.
• Dental insurance coverage.
• Vision insurance coverage.
• 401k retirement savings plan.
• Paid time off and holidays.