Insurance Verification Representative Lead- Patient - Annapolis, United States - Luminis Health

Luminis Health

Verified Company

Annapolis, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Anne Arundel Medical Center

Title:
Insurance Verification Representative - Lead

Department:
Patient Access and Support Services

Reports To:
Director, Patient Access and Support Services

Cost Center/Job Code:

FLSA Status:
Non-Exempt

Position Objective:

Performs a daily review of the provider schedules for the designated Anne Arundel Medical Group sites in order to identify procedures requiring insurance verification.

Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Initiates the verification and preauthorization process for Anne Arundel Medical Group with insurance carriers. Contacts insurance companies, referring physicians and patients, according to department policies and procedures.
Provides support/assistance to practice, billing department and/or billing vendor in the resolution of verification or authorization issues.
Assists with orientation and mandatory recredential process for compliance of registration functions.
Develops training curriculum in collaboration with Director and oversees the employee orientation processes and annual competencies.
Participates in team performance reviews
Reports variances to manager/director to ensure compliance and processes in regards to regulatory agencies.
Troubleshoots equipment problems and maintains supply and inventory. Participates in an expert role, when required, for systems, process, and computer upgrades and improvement
Regularly participates in departmental and collaborative meetings to address and/or to assist in improving registration processes and functions. Participates in developing and/or improving process workflows. Assists in creating and improving processes, policies, SOPs, and workflows.
Manages critical staffingshortage calls, as necessary
Communicates with patients, medical staff, hospital staff and visitors in a professional manner providing excellent customer service as reflected in AAHS/HCE's policies and practices. Maintains ongoing communications with leadership, by reviewing processes, tasks and responsibilities to resolve problems to meet departmental and staffing needs. Collaborates with leadership on activities to include (but not limited to) developing training plans and departmental program changes, enhancements and compliance regulations

Educational/Experience Requirements:

High school diploma.
Excellent customer service skills required. Must demonstrate excellent professional and courteous interaction with patients, coworkers, referring physicians, and other health care professionals.
Four Five years of previous insurance experience in a health care environment. Knowledge of medical terminology is required.
Demonstrates effective communication skills, both verbal and written. Computer experience.
Demonstrates supervisory skills
Medical terminology required with 2 years of billing experience preferably in a hospital environment.

Required License/Certifications:

Certified Healthcare Access Associate (CHAA) required

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.

Physical Demands
-
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
The above job description is an overview of the functions and requirements for this position.

This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.