Insurance Verification Specialist

2 days ago

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Boston Medical Center (BMC)

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5001 - 10000

Description

• The Insurance Verification Specialist role is part of the Revenue Cycle Patient Access team. • Responsible for coordinating all financial clearance activities by navigating all referral, precertification, and/or authorization requirements. • Helps to coordinate patient access to care while maximizing BMC hospital reimbursement.

Requirements

• High School Diploma or Equivalent required, Associates degree or higher preferred. • Case manager and/or coding certification desirable • 4-5 years medical billing/denials/coding/and/or inpatient admitting experience desirable • General knowledge of healthcare terminology and CPT-ICD10 codes. • Complete understanding of insurance is preferred. • Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. • Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. • Knowledge of and experience within Epic is preferred. • Demonstrates technical proficiency within assigned Epic work queues and applicable ancillary systems, including but not limited to: ADT/Prelude/Grand Central, HB & PB Resolute. • Demonstrates proficiency in Microsoft Suite applications, specifically Excel, Word, and Outlook. • Displays a thorough knowledge of various sections within the work unit in order to provide assistance and back-up coverage as directed. • Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards.