[Hiring] Insurance Verifier @Munson Healthcare

Role Description

Location: This is a remote position *Must reside in Michigan*

Schedule: Full Time Hours Weekly - Monday - Friday 8AM - 4:30PM

• Exercises a high degree of control over confidential medical information.
• Inputs and updates all insurance information in appropriate screens.
• Verifies eligibility of all insurances available online or by phone.
• Identifies primary and secondary insurance. Inputs insurance information in correct COB order.
• Obtains claim numbers and verifies that claims are established for Workmen’s Comp and Auto Insurance.
• Identifies the need for pre-authorization information, makes decisions relating to insurance eligibility utilizing several online systems available at MMC.
• Scheduled patients: Obtains and documents pre-authorization as appropriate for procedure.
• Emergent patients: obtains pre-authorization guidelines and communicates information to Utilization Management.
• Follow up on all verification issues in a timely manner and communicate information to proper departments regarding information obtained.
• Responsible to keep current on billing requirements from third parties such as Blue Cross/Blue Shield, Medicare, Medicaid, and all other health insurance carriers.
• Performs insurance verification, obtains pre- and retro-certification information for all inpatient activity.
• Communicates appropriate information to the Utilization Management team as required.
• Refers patients to Financial Counselors to obtain financial assistance and/or payment arrangements when appropriate.

Qualifications

• 2 Year / Associate Degree or Equivalent experience
• 1.5 years of related experience in healthcare
• Medical experience is preferred
• Well versed in medical terminology is highly preferred

Requirements

• Advanced keyboard, mouse, computer and Microsoft Office skills.
• Must have knowledge and ability to learn, access and utilize 10+ of the computer programs listed below within 90 days of hire:
• Outlook
• Star
• Insurance Verification systems
• Smart Web
• Power Chart
• First Net
• 3M Coding
• Ontrac and related tools
• NextGen
• Cerner
• Must possess exceptional oral and written communication skills.
• Ability to demonstrate effective communication with patients, Dr’s offices and technicians within hospital departments, and create accurate documentation with information gathered.
• Must be warm, friendly, and sensitive to the feelings and concerns of others.
• Ability to demonstrate effective communication with Insurance companies to obtain, verify, and create accurate documentation with information gathered.
• Ability to perform online insurance verification through the Internet.
• Must demonstrate ability to adapt to change and keep up with continued advanced education requirements.
• Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella.
• MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

Benefits

• Tuition reimbursement, in-person and online development, and access to our career hub to help you advance.
• Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling.
• Free wellness platform for you and your family, plus personalized support for personal or family challenges.
• Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings.