Address
Form of workEmployment Type:
Full timeShift:
Day Shift
Description:
Under the direction of the Regional Patient Access Financial Clearance Manager, the Insurance Verification Coordinator will be responsible for ensuring all services are financially cleared five (5) days prior to the date of service, and Urgent Admission accounts are financially cleared within one date of admission for the Trinity Health Mid-Atlantic Region, which includes: Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne. This position requires a detailed knowledge in all aspects of acute registration, scheduling and verification, including ancillary and inhouse services. The Coordinator is responsible to ensure all department policies and procedures are enforced, assist Regional manager in monitoring the accuracy of financial clearance on accounts, daily review and clearing of issues within Epic work lists, and managing the overall training and coordination of workflow for the department.
Assists manager by coordinating the work of an assigned group of employees, relays work instructions, distributes and monitors work. Provides technical training and assistance. Provides employee performance information and reports employee performance problems. Maintains and exceeds the department specific individual productivity standards, collection targets, quality audit scores for accuracy, productivity, collection and standards for registration/Insurance Verification. Fosters positive morale and effective teamwork in assigned group. Performs, and oversees the work of assigned employees performing, the duties of the Insurance Verification Associate and Insurance Verification Specialist. Reviews and works daily lists of future scheduled ambulatory visits and urgent admissions to confirm the accuracy of insurance coverage. Contacts the patient and specialty physician's office when the insurance cannot be verified, and the patient cannot be reached by telephone. Advises the physician's office to reschedule the visit after all efforts are exhausted. Refers cases to RHM Medicaid Vendor and Benefit Advocate for resolution when patients are uninsured and wish to be seen. Reviews and responds to denials related to no referral/authorization, wrong insurance billed, and not eligible date of service. Maintain knowledge of policies and procedures for Department Develop staffing calendars and assure staffing needs are met. Implement alternative staffing patterns as needs arise with manager guidance regarding departmental budgetary constraints. Assist with interviewing and hiring decisions to maintain adequate staffing in department Assist manager with monthly productivity and reviews. Respond to colleague questions and concerns on a team and individual basis as needed Participate in monthly team meetings to apprise team of changes and to address broader based departmental issues and initiatives. Recommend and assist in policies and procedures within the department as well as implementation of process improvement tasks. Monitor work queues and reports to ensure accurate and timely financial clearance of accounts. Assists manager in working initial denial files on weekly basis and performs root cause analysis. Other duties as needed and assigned by the manager
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 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.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Full timeShift:
Day Shift
Description:
Under the direction of the Regional Patient Access Financial Clearance Manager, the Insurance Verification Coordinator will be responsible for ensuring all services are financially cleared five (5) days prior to the date of service, and Urgent Admission accounts are financially cleared within one date of admission for the Trinity Health Mid-Atlantic Region, which includes: Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne. This position requires a detailed knowledge in all aspects of acute registration, scheduling and verification, including ancillary and inhouse services. The Coordinator is responsible to ensure all department policies and procedures are enforced, assist Regional manager in monitoring the accuracy of financial clearance on accounts, daily review and clearing of issues within Epic work lists, and managing the overall training and coordination of workflow for the department.
Assists manager by coordinating the work of an assigned group of employees, relays work instructions, distributes and monitors work. Provides technical training and assistance. Provides employee performance information and reports employee performance problems. Maintains and exceeds the department specific individual productivity standards, collection targets, quality audit scores for accuracy, productivity, collection and standards for registration/Insurance Verification. Fosters positive morale and effective teamwork in assigned group. Performs, and oversees the work of assigned employees performing, the duties of the Insurance Verification Associate and Insurance Verification Specialist. Reviews and works daily lists of future scheduled ambulatory visits and urgent admissions to confirm the accuracy of insurance coverage. Contacts the patient and specialty physician's office when the insurance cannot be verified, and the patient cannot be reached by telephone. Advises the physician's office to reschedule the visit after all efforts are exhausted. Refers cases to RHM Medicaid Vendor and Benefit Advocate for resolution when patients are uninsured and wish to be seen. Reviews and responds to denials related to no referral/authorization, wrong insurance billed, and not eligible date of service. Maintain knowledge of policies and procedures for Department Develop staffing calendars and assure staffing needs are met. Implement alternative staffing patterns as needs arise with manager guidance regarding departmental budgetary constraints. Assist with interviewing and hiring decisions to maintain adequate staffing in department Assist manager with monthly productivity and reviews. Respond to colleague questions and concerns on a team and individual basis as needed Participate in monthly team meetings to apprise team of changes and to address broader based departmental issues and initiatives. Recommend and assist in policies and procedures within the department as well as implementation of process improvement tasks. Monitor work queues and reports to ensure accurate and timely financial clearance of accounts. Assists manager in working initial denial files on weekly basis and performs root cause analysis. Other duties as needed and assigned by the manager
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 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.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
