Verification Specialist at The Judge Group (Philadelphia, PA)

| Philadelphia, PA
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Location: Philadelphia, PA
Description:

Our client is currently seeking a Verification Specialist in Philadelphia, PA

Under the supervision of the patient Accounts Manager, the Verification Specialist is responsible for performing insurance verifications and obtaining all necessary authorizations/referrals for non-Medicare primary cases.

M-F 8:00- 4:30- FT (40 hours week)

This job will have the following responsibilities:

  • Utilizes web-based and telephone communications to perform insurance verifications within 48 hours of receipt of reservation/notification for both inpatient and outpatient surgical cases.
  • Communicated effectively with Patient Accounts manager as necessary to ensure prompt resolution of verification or authorization issues.
  • Identifies out-of-pocket expenses for all surgical cases and notifies patients of their financial responsibilities.
  • Maintains log of expected payments from patients on a daily basis.
  • Develops daily reports of previous days pending cases and communicates explanations to the Patient accounts Manager.
  • Meets/exceeds performance expectations and completes work within the required time frames.
  • Articulates critical information in a clear and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians.
  • Functions as an effective team member.
  • Demonstrate adaptability, flexibility, and accountability when changes are made in the job description and responsibility, including performing all qualified duties throughout other areas of the hospital.
  • Strives to maintain the confidentiality of all patients and their families/significant other(s).
  • Formulates and maintains effective working relationships with peers, managers and other members of the health care team.

Qualifications & Requirements:

  • High School diploma or GED required
  • 3 years' experience performing insurance verification required
  • The ability to communicate clearly and concisely, verbally and in writing
  • Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Possesses the ability to work effectively with other employees, patients, and external parties.

All interested candidates should email an up to date resume to Erinn ([email protected]) or apply directly to this post for immediate consideration!

Contact: [email protected]

This job and many more are available through The Judge Group. Find us on the web at www.judge.com
More Information on The Judge Group
The Judge Group operates in the Consulting industry. The company is located in Wayne, PA, Philadelphia, PA, Matawan, NJ, New York, NY, Waltham, MA, Providence, RI, Southfield, MI, Westerville, OH, Vienna, VA, Richmond, VA, Charlotte, NC, Atlanta, GA, Jacksonville, FL, Tampa, FL, Chicago, IL, St Louis, MO, Edina, MN, Kansas City, MO, Austin, TX, Dallas, TX, Bentonville, AR, Denver, CO, Phoenix, AZ, Irvine, CA, San Francisco, CA and Tacoma, WA. The Judge Group was founded in 1970. It has 1928 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Dental Benefits, Health Insurance Benefits, 401(K), Performance Bonus and Paid Holidays. To see all 400 open jobs at The Judge Group, click here.
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