Insurance Verification Clerk
Overview:
Insurance Verification ClerkLooking for your next career opportunity in healthcare? Are you detail oriented? Come join a top rated hospital! We are in need of an Insurance VerificationClerk to verifyregistration information and insurance coverage eligibility by using online tools and system applications.
Secures and documents authorization for scheduled/non-scheduled inpatient and ambulatory surgical procedure and outpatient radiology procedures.
Ensures that all encounter information is correct for claim processing; responsible for communications with the patient and or designated individual; physician's office, utilization management, business office and insurance companies to secure specific services and requests.
Virginia Hospital Center (VHC) is a nationally recognized Hospital and teaching facility that has been delivering the highest quality care to the Washington, DC metropolitan area for over 70 years.
- Earning the 2016 Top Hospital award from the Leapfrog Group for excellence in hospital safety and quality for the second year in a row, VHC consistently achieves the highest levels of patient satisfaction.
- Located in Arlington, VA, VHC is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare organizations).
- VHC is the largest Hospital in the region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as a Magnet hospital by the American Nurses Credentialing Center.
- In 2016, VHC earned the Distinguished Hospital Clinical Excellence Award and the Outstanding Patient Experience Award from HealthGrades.
- VHC is a 394-bed, all-private room Hospital that strives to provide continued excellence for our employees and patients.
Qualifications:
High School diploma or equivalent preferredPrevious experience in the medical field preferredExperience in the field of health insurance, knowledge of medical terminology, knowledge of general radiology procedures and knowledge of HIPAA Regulations required
Responsibilities:
Process verification and obtain authorization via email request(s) from specific department which has been prior arranged.
Includes request prior to services being scheduledVerify and complete at least 30 encounters per day and at least 150 encounters per week.
All completed encounters are coded appropriately in the ONTRAC system as well documenting updates in Soarian FinancialsVerification to third party billing systems.
Certification of coverage, policy information, claim addresses are obtained for each insurance carrier.
Any necessary corrections are made to produce an error free claimThe verifier is responsible for obtaining the correct ID number, claim address, date of injury (DOI), adjuster name and contact number as well as the approval.
All documentation is entered in Soarian Financial and or scanned into EDMVerifies registration information.
All patient/guarantor information and insurance plans are correct.
Revisions are updated in the Soarian Financials
Benefits:
Pay &
Benefits:
In addition to salary, the benefit package includes paid major holidays, vacation/sick time, health & dental insurance, and 401(k).
Estimated Salary: $20 to $28 per hour based on qualifications.
Insurance Verification ClerkLooking for your next career opportunity in healthcare? Are you detail oriented? Come join a top rated hospital! We are in need of an Insurance VerificationClerk to verifyregistration information and insurance coverage eligibility by using online tools and system applications.
Secures and documents authorization for scheduled/non-scheduled inpatient and ambulatory surgical procedure and outpatient radiology procedures.
Ensures that all encounter information is correct for claim processing; responsible for communications with the patient and or designated individual; physician's office, utilization management, business office and insurance companies to secure specific services and requests.
Virginia Hospital Center (VHC) is a nationally recognized Hospital and teaching facility that has been delivering the highest quality care to the Washington, DC metropolitan area for over 70 years.
- Earning the 2016 Top Hospital award from the Leapfrog Group for excellence in hospital safety and quality for the second year in a row, VHC consistently achieves the highest levels of patient satisfaction.
- Located in Arlington, VA, VHC is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare organizations).
- VHC is the largest Hospital in the region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as a Magnet hospital by the American Nurses Credentialing Center.
- In 2016, VHC earned the Distinguished Hospital Clinical Excellence Award and the Outstanding Patient Experience Award from HealthGrades.
- VHC is a 394-bed, all-private room Hospital that strives to provide continued excellence for our employees and patients.
Qualifications:
High School diploma or equivalent preferredPrevious experience in the medical field preferredExperience in the field of health insurance, knowledge of medical terminology, knowledge of general radiology procedures and knowledge of HIPAA Regulations required
Responsibilities:
Process verification and obtain authorization via email request(s) from specific department which has been prior arranged.
Includes request prior to services being scheduledVerify and complete at least 30 encounters per day and at least 150 encounters per week.
All completed encounters are coded appropriately in the ONTRAC system as well documenting updates in Soarian FinancialsVerification to third party billing systems.
Certification of coverage, policy information, claim addresses are obtained for each insurance carrier.
Any necessary corrections are made to produce an error free claimThe verifier is responsible for obtaining the correct ID number, claim address, date of injury (DOI), adjuster name and contact number as well as the approval.
All documentation is entered in Soarian Financial and or scanned into EDMVerifies registration information.
All patient/guarantor information and insurance plans are correct.
Revisions are updated in the Soarian Financials
Benefits:
Pay &
Benefits:
In addition to salary, the benefit package includes paid major holidays, vacation/sick time, health & dental insurance, and 401(k).
Estimated Salary: $20 to $28 per hour based on qualifications.
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