The Insurance Verification Specialist – Pre-Registration/Patient Caller position, under the direction of the PAU Supervisor or Manager, provides professional pre-registration services for our patients, physician’s community, and facility representation. This position provides high quality point of service collections, financial counseling, demographic verification, and insurance review.

Essential Duties and Responsibilities:

• Maintain working knowledge of estimated patient financial responsibilities via the estimation tool and perform outreach to the patients prior to the scheduled appointment to verify patient demographics and notify the patient of their estimated financial responsibility.
• Provide professional, accurate, and timely Pre-Registration functions. Provide a high level of quality of customer service while maintaining effective communication with the patients, physician’s community, and facility representation.
• Secure acceptable financial arrangements, as per the CHS Point of Service policy. Should acceptable arrangements not be made, effectively communicating with the appropriate facility with required information needed to make an informed decision. Accurately process payments within the web based application.
• Document all account activity, including payment information, in the applicable host system timely and thoroughly.
• Responsible for maintaining performance standards, ensuring that the department is operating at peak proficiency, and that the established goals are consistently met.

Qualifications:

Required Education:

• High School Diploma or Equivalent

Required Experience:

• 1+ years of medical office, medical insurance company, or healthcare facility experience
• Knowledge of CPT, ICD-10, and medical terminology

Reasoning Ability:

• Ability to define problems, collect data, establish facts and draw valid conclusions. Interprets an extensive variety of payer requirements.

Computer Skills Required:

• To perform this job successfully, an individual should have knowledge of host systems, ancillary applications, and payor web applications.