Insurance Authorization/Verification

Kansas Spine & Specialty Hospital of Wichita, KS is looking to hire a full-time Insurance Authorization/Verification. Are you looking for a job that offers meaningful work? Do you want an opportunity to take your medical career to the next level? Would you like to join a patient-centered hospital that values the contributions of its employees? If so, please read on!

This insurance authorization position in Pain Center earns a competitive wage of depending on experience. We also offer great benefits, including health, dental, vision, paid time off (PTO), a 401(k) retirement plan with employer matching as well as Safe Harbor contributions. If this sounds like the right management opportunity with our hospital for you, apply today!

Overview

Verifies insurance coverage and reviews accuracy of authorizations. Determines patient qualification for coverage. Ensures excellent patient service for patients and families, physicians and staff, and visitors to Clinic. Upholds the mission statement and expectations of the facility.

Key Tasks & Responsibilities

Essential Functions

1. Verifies current eligibility for patient's date of service for all insurances to include worker's compensation, accident insurance and state programs.
2. Confirms insurance authorization for services by obtaining precertification information from physician's office, verifies procedure, status and date of service accurately with insurance (on line, etc.) prior to date of service, as applicable.
3. Documents and scans insurance eligibility and authorization prequalification for all payer's before date of scheduled admission.
4. Maintain current listing of facilities current In-Network insurance plans and provide updates to Billers, Registration, Radiology Registration, Scheduling and Physician office staff.
5. Verifies quarterly and maintains current listing of all insurance plans authorization requirements and provides updates to Billers, Registration, Radiology Registration, and Physician office staff.
6. Provides exemplary customer service by immediately greeting patient with courteous smile, introducing self and providing a quick, proficient and accurate registration.
7. Communicates effectively and works cooperatively and professionally with all co-workers, management, patients, visitors, physicians and others. Demonstrates work as a team player.
8. Greets patients, families, physicians and staff in a courteous manner, and assists as needed.
9. Documents concisely, precisely and accurately in the system and on records, patient account notes or documents for every patient contact.
10. Answers incoming phone calls professionally, by identifying facility and/or department and self to caller and directing call to the appropriate destination.
11. Maintains knowledge of facilities current insurance contracts.
12. Create and updates Procedure Manuals and Reference Materials to provide process instructions, to ensure accuracy and consistency between users, for facility insurance Authorization/Verification, Registration and Reception positions.
13. Works closely and partners with referring clinics, learning and understanding their processes and teaching them our facility processes to ensure a smooth patient registration and experience.
14. Attends all training courses as recommended by Practice Manager.
15. Abides by all HIPAA policies and requirements.

Qualifications & Requirements

High School diploma or equivalent.

Experience Required

Two years previous experience with insurance authorization and verification required. Computer skills, basic office skills, knowledge of medical terminology required.