Insurance Verification Rep

Location
Silver Spring, Maryland
Posted
Jun 05, 2017
Closes
Aug 25, 2017
Function
Nurse
Industry
Healthcare
Hours
Full Time
Position Purpose: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 Description Details:

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 verifications, 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, ICD10 and CPT 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.
Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 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.