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HCMD_Insurance Verification Rep_S355

Company: Trinity Health Corporation
Location: Silver Spring
Posted on: June 6, 2021

Job Description:

Employment Type:

Part time

Shift:

Evening Shift

Description:

General Summary:

This position is responsible for the financial clearance, registration and collection of point of service fees for all hospital related services. Ensures that information is accurately presented to third party payers or guarantors, and minimizes errors that would result in penalties or other delays in payment to the hospital. Ensures cash reconciliation and submission activities are completed according to department/hospital policies and procedures. May perform the duties of a Patient Registration Representative I and II as needed. Other duties as assigned.

Job Title: Insurance Verification Representative Job Code: S3552

Department: Pre-arrival Services

General Summary:

This position is responsible for the financial clearance, registration and collection of point of service fees for all hospital related services. Ensures that information is accurately presented to third party payers or guarantors, and minimizes errors that would result in penalties or other delays in payment to the hospital. Ensures cash reconciliation and submission activities are completed according to department/hospital policies and procedures. May perform the duties of a Patient Registration Representative I and II as needed. Other duties as assigned.

Minimum licensure/certification required (if applicable):

  • High school diploma or GED
  • Two-year college degree or equivalent experience preferred.
  • Professional Certification through AAHAM, NAHAM or HFMA preferred

Minimum Knowledge, Skills, & Abilities Required:

  • Minimum of two years' experience performing registrations, insurance verification billing and the collection of POS collections in a hospital and/or other health care settings. Insurance verification experience preferred.
  • Working knowledge of applicable federal, state and local laws and regulation/third party insurance practices, eligibility systems, etc. Firm understanding of medical terminology, ICD-10 and COT coding.
  • Proficiency computer and data entry skills. Proficiency in Microsoft Office products such as Excel, Word, PowerPoint, and Visio.
  • Exceptional communication (written and oral) with the ability to convey complicated information to customers. Fluency in both English and Spanish preferred.
  • Must be able to perform audit functions in a concise, timely and professional manner to include: data retrieval and review; error identification and correction; documentation and display of data in a concise, understandable format; identification of trends; and recommendation of process/system improvements.
  • Must be able to set and organize own work priorities, and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must be able to manage multiple workplace demands and set realistic and obtainable priorities related to such.
  • Excellent problem solving and conflict management skills are essential, as decisions and judgment utilized by the incumbent impact the overall operations and workflow of the hospital and Medical Staff.

Working Conditions:

Physical Requirements:

Exerting over 25 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and up to 10 pounds of force constantly to move objects. Physical demand requirements are in excess of those of light work.

Visual Acuity:

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices; and/or assembly or fabrication parts at distances close to the eyes.

Environmental conditions:

Physical demand requirements are in excess of those of light work; typically office or administrative work.

Reporting Relationship:

Reports to Supervisor/Manager of Pre-arrival Services/Director of Patient Access

Functions with minimal supervision, utilizing current information and resources, and setting work priorities according to assigned workload. Communicates with Supervisor/Manager regarding unusual situations or patient status.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Keywords: Trinity Health Corporation, Silver Spring , HCMD_Insurance Verification Rep_S355, Other , Silver Spring, Maryland

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