Genesis Health System Insurance Verification Rep in Davenport, Iowa
Position Title: Insurance Verification Rep
Department: SBS - Patient Access
Purpose: Responsible for interfacing with patient and families to discuss payment options prior to or during hospitalization. Is also responsible for obtaining and documenting patients' insurance coverage and precertification or authorization requirements. Will also assist in reviewing payment alternatives such as Public Aid, SSI, Crime Victims, and Charity. Notifies patients, SBS staff and physicians of uncovered charges and updates data prior to hospitalization for scheduled and non-scheduled admissions. Will assist with collection for co-pay and deductibles. Will ensure all activities achieve high patient satisfaction levels and support successful billing activities, while supporting the standards and philosophies of Genesis Health System. Additional duties may also be assigned. Contacting precertification agencies in a multi-facility admission, pre-registration and emergency service areas.
Report To: Supervisor, Insurance Verification and Pre-Registration
Supervisory Responsibility: No Supervision: The job does not require the provision of guidance or supervision to others. There is no formal responsibility for directing others.
Materials Responsibility: Very Limited. Work requires very limited responsibility for material resources. Examples of resources could include personal work materials, supplies or equipment, or very small amounts of cash. The employee has a very limited or indirect amount of control over these resources. Although human error might require the repair or replacement of materials, usually the cost of correcting these errors is minor. The variety and volume of resources is also very limited. Problems associated with material resources are very uncomplicated.
Key Relationship: Co-workers/Health System Employees, Outside Agencies/Other Health Care Providers, Governing Boards, General Public/Visitors/Volunteers, Physicians/Medical Office Staff, Students/Interns/Residents/Outside Instructors, Patients, Families, and Significant Others, Vendors/Clients, Third Party Payors/Insurance Companies, Local Governments, News Media, Attorneys
Education: 2 year college program or equivalent experience
Field Of Study: Business, Finance, or related field
Special Training: Experience in billing/AR, insurance verification, customer service, and front desk/registration; quality improvement; word processing and other Windows-based computer applications
Training Preferred: Medical Terminology, CHAT, CPAT
Experience: More than 1 year experience required.
Interpersonal Skills: Interaction is with a variety of people. These may be fellow employees, customers, the public or others outside the organization. Communications are of limited difficulty. Interactions usually involve short, straightforward exchanges of information. The job requires a limited amount of interpersonal skills. Interactions are non-stressful encounters and dealing with uncomplicated problem situations.
Physical Demands: Low Intensity: Work requires a light or low amount of physical exertion. The job requirements for manual dexterity or physical manipulation are limited. The need for physical stamina and endurance is of minimal or low significance. The degree of physical strain produced on the job is somewhat taxing, but does not usually produce fatigue and require periods of rest. Freedom of movement exists, and the job does not confine the employee to a prescribed body posture. Body movement usually involves sitting and intermittent walking. The position exceeds these low intensity demands rarely, 10% of the time or less.
Working Conditions: There are little or no adverse environmental conditions to consider.
Possible Exposure to Blood Borne Pathogens: None