Insurance Verification Specialist at McLaren Health Care

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Full Time

Start Date

Immediate

Expiry Date

14 Feb, 26

Salary

0.0

Posted On

16 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Customer Service, Communication Skills, Multi-tasking, Time Management, Confidentiality, HIPAA Compliance, Quality Improvement, Problem Solving, Data Entry, Patient Interaction, Team Collaboration, Registration, Payment Assistance, Organizational Skills, Professional Development

Industry

Hospitals and Health Care

Description

Position Summary: The Insurance Verification Specialist is responsible for participating in hospital activities that directs customers, collects patient demographic and insurance information and processes that information via an internal computer system for collections and reimbursement. General Requirements: 1) Demonstrates characteristics that support the values, vision, mission, policies and procedures of McLaren Oakland. 2) Provides service excellence standards: a) Responds promptly, professionally and courteously to all customers’ needs. b) Cooperates and communicates effectively with all McLaren Oakland team members. c) Contributes to continuous quality improvement efforts. 3) Organizes time and prioritizes effectively. 4) Completes tasks accurately and timely. 5) Flexes to meet department needs and objectives. 6) Practices cost effective measures. 7) Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources. 8) Complies with HIPAA regulations and Patient Bill of Rights. 9) Follows all safety and health standards. 10) Maintains responsibility for own professional development Essential Functions and Responsibilities: 1) Interprets patient/visitor requests for services. 2) Meets with patient/representative to obtain necessary registration/insurance information. 3) Verifies insurance for all Inpatient, Outpatient Surgery and others as necessary. 4) Work closely with Case Management and Patient Accounting to secure hospital payment. 5) Coordinates request for application of payment assistance. 6) Performs other related duties as assigned . 7) Reports equipment failure to designated repair source. Qualifications: Required: High School Graduate or equivalent. Preferred: One year experience in an insurance health care setting Knowledge, Skills, and Abilities: Extensive contact with department staff and various McLaren Oakland staff members. May come in contact with physicians, patients and/or patients’ families. Ability to interpret insurance benefits and apply them to patient services. Excellent oral and written communication skills. Ability to multi-task, work under pressure and maintain calm composure with customers.

Responsibilities

The Insurance Verification Specialist is responsible for collecting patient demographic and insurance information and processing it for collections and reimbursement. They also verify insurance for various patient services and coordinate payment assistance applications.