CentraState Healthcare System

Access Services Associate - Insurance Verification

3 weeks ago
ID
2017-7938
Position Type
Per Diem
CentraState Medical Center
Shift
Day

Overview

Work for the Healthcare System that Brings Out the Best in You.

 

When you work with CentraState Healthcare System, you’re not just another employee, you’re part of a community of experts dedicated not only to helping our patients and their families, but also helping each other succeed.

 

Why Choose CentraState?

With ample opportunity, competitive benefits and a collaborative atmosphere, working at CentraState is not just another job, it’s a way to do what you love and to be your best you!

 

We believe in enriching the lives of our employees through work/life balance initiatives, tuition assistance, career advancement opportunities and much more.

 

Find out why our employees love their jobs and being part of the CentraState family!

 

What We Offer:

  • Highly competitive compensation
  • Excellent benefits package and rewards program
  • Leading edge technology
  • Great staff-to-patient ratio’s
  • Career Development and Growth Opportunity
  • Tuition Reimbursement Program
  • Comprehensive Retirement / Savings Programs
  • Continuing Education / Onsite Training
  • A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
  • Profit Sharing Program
  • Concierge Services with Work & Family Benefits
  • Magnet recognized healthcare facility

 

CentraState's mission 

To enhance the health and well being of our communities through the compassionate delivery of quality healthcare.

 

Our vision 

To have an organization of caring professionals trusted as our community's healthcare system of choice for clinical excellence.

 

We are dedicated to service excellence for our patients, residents, families and community.

 

Compassion, sensitivity and integrity, for those we serve as well as those with whom we work, are essential.

 

We are also committed to an environment that supports continuous quality improvement and positive change.

 

This environment is enhanced by education that improves our individual and collective capabilities. We understand that cooperation with individuals and institutions with whom we share common goals is integral to the fulfillment of our mission.

 

Our Commitment to Diversity and Inclusion

CentraState Healthcare System prohibits discrimination based on arbitrary consideration of such characteristics such as race, color, religion, national origin, ancestry, gender (including pregnancy), affectual or sexual orientation, gender identity or expression, marital status, age, physical or mental disability or limitation, medical condition, genetic information, or veteran or military status, as well as any other legally protected class of persons and acts, in accordance with applicable State and Federal laws.

 

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

 

E-mail Recruitment Team

Responsibilities

CentraState is currently seeking an Insurance Verification Specilaist in our patient access department. The hours are Monday through Friday 8:30am to 2:30 or 9am to 3:00pm.

 

Insurance Verification Access Services Associate:

  • Verifies each account in hospital registration system following all departmental procedures to ensure compliance with state and federal regulations.
  • Obtains and determines the coordination of benefits and accurately inputs into computer software.
  • Clearly documents in computer system all communication with patients, family embers, insurance companies and physicians.
  • Completes quality checks and the review of each account for correct information.
  • Re-verifies denied accounts. Resubmits and completes process for appeal.
  • Coordinates with insurance companies, patients, physicians, and/or employers to verify coverage, to notify of services and to obtain pre-certification and/or referral
  • requirements.
  • Coordinates discussions with physicians and physician’s staff and patients on status of account and actions that will be taken.
  • Facilitates discussion with patients and/or families on patient’s financial responsibilities.
  • Investigates all self pay, workers compensation, no fault and secondary coverage.
  • Accurately completes all forms required for a complete verification and sends to
  • appropriate entity, Medicaid requirements to Self Pay Company, 21 day notices to No Fault Carriers, ABN to out patient departments.
  • Works with physician offices to ensure accurate CPT coding for authorizations and maximum payment of contracted rates.

 

Qualifications

  • High school graduate or equivalent is required
  • Excellent computer skills
  • Outstanding customer service a must
  • Knowledge of medical terminology
  • Previous hospital experience in registration or billing preferred

 

Physical Demands

Typing; Filing; Standing; Walking; Lifting/pushing or pulling up to 10 pounds; Reaching above shoulder.

 

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

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