Job Details
Job Type: Per Diem
Date Posted:
Shift: Varied
Req. Number: 20057215
MAJOR FUNCTION:
Ensure patients' health care benefits cover inpatient admission and/or observation stay. Verify patient eligibility and benefit coverage. Submit hospital Notice of Admission for all emergent admissions and observation stays from the day before, in order to obtain required insurance authorizations.
QUALIFICATIONS:
Education & Experience:
- High School Diploma or GED equivalent required.
- Minimum of one year of experience working with medical insurance plans and products, coordination of benefit guidelines, and requirements for authorizations.
- Minimum of one year of experience working in a hospital or physician office verifying medical insurance coverage and a working knowledge of insurance plans and products, benefits and authorization processes.
Certification/Licensure:
- N/A
Knowledge & Skills:
- Must recognize inaccurate insurance information and take an investigative approach in following up as necessary to uncover correct information.
- Proficiency in working with payer on-line portals ex: Medicare, Medicaid, NaviNet preferred along with working knowledge of Commercial Insurances and Mental Health benefits.
- Basic knowledge of medical diagnoses and procedure codes required. Excellent verbal and written communications skills.
- Ability to organize accounts, work independently in addition to being detailed oriented is a must.
- Must be able to work many accounts daily.
- Strong computer skills with a working knowledge of Microsoft Office, Excel, Soarian Financials preferred.
Physical Requirements: N: Never O: Occasionally (<20%) F: Frequently (20%-80%) C: Constantly (>80%)
Lifting <20lbs O Standing O Sitting C
Lifting 20-50lbs O Climbing N Kneeling O
Lifting>50lbs N Crouching O Reaching F
Carrying O Hearing C Walking O
Pushing O Talking C Vision C
Environmental Conditions:
Noise O Varied Temperatures O Cleaning Agents N
Noxious odors N Patient Exposure F Operative Equipment N
At Inspira Health, you’ll join with the area’s most dedicated and distinguished team to bring quality and compassionate care to our communities. We focus on clinical excellence, providing evidence-based care to help each patient achieve the best possible outcome. The scope and depth of our network can open many doors for your learning and career growth.
Our charitable nonprofit health care organization serves communities across southern New Jersey. The network, which traces its roots to 1899, comprises three hospitals, a comprehensive cancer center, sleep medicine, cardiac testing, digestive health and wound care, urgent care, imaging and rehabilitation, and primary and specialty physician practices in Gloucester, Cumberland, Salem and Camden counties.
Inspira is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, creed, color, national origin, ancestry, age, marital status, affectional or sexual orientation, familial status, disability, liability for service in the Armed Forces of the United States, nationality, sex, gender identity or expression.
Job Details
Job Type: Per Diem
Date Posted:
Shift: Varied
Req. Number: 20057215