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Catholic Health Initiatives Insurance Verification Rep - Patient Access in TACOMA, Washington

Insurance Verification Rep - Patient Access



Requisition #: 2019-R0259569

Post Date: 3 days ago

Job Type: Full Time

Scheduled Hours per 2 Week Pay Period: 80

Daily Schedule: 8:00am-5:00pm

Weekends Required: None


Franciscan Medical Group is currently seeking a full-time Insurance Verification Rep for the Franciscan Patient Access department in Tacoma. Flexible schedules with tremendous opportunity for growth. No weekends required!

CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.

Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!

Job Summary:

This job is responsible for verifying the patient’s insurance information prior to scheduled visits in accordance with HIPAA guidelines, internal standards and procedures, and other regulatory requirements. An incumbent interprets coverage limitations, patient vs. insurance coverage, follows up with payors/patients to secure account and responds to insurance verification questions.

Work includes: 1) verifying insurance coverage and patient balances via electronic tools and payor websites; 2) collecting, recording and distributing patient demographic and financial information via computer and manual systems; and 3) conveying patient liability estimates and collecting for services.

Work requires knowledge of insurance authorization/billing and privacy/confidentiality practices, as well as knowledge of medical terminology and insurance payor (specifically Medicaid) requirements. An incumbent follows proper channels of communication in handling routine problems and recognizing issues that need escalation to management. Strong customer service skills and the ability to produce work with a high degree of accuracy/timeliness while meeting productivity standards are also required.

The job exists in central locations, and while there may be minor differences in job content, they are not significant for classification purposes. Overall, the nature of the work and job requirements are consistent between locations.

Essential Duties:

Collects/receives patient demographic and financial information via phone, mail and/or Internet; verifies insurance information and records into electronic medical record.

Reviews eligibility discrepancies; gathers/resubmits follow up information as appropriate and alerts appropriate staff of any required appointment changes.

Responds to general questions from patients, staff and others regarding insurance coverage and authorizations.

Collects on balances for services in an accurate and timely manner using established processes and procedures.

Responds to verbal and written requests for patient financial information in compliance with HIPAA regulations; investigates concerns/issues and provides quality assurance of data; may refer customers to appropriate resources.

Performs end-of-day payment reconciliation; closes out cash drawers; ensures that outstanding work is completed or assigned to other staff.

Additional Responsibilities:

Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence.

Education/Work Experience:

One year of experience in a medical office or healthcare environment where knowledge of medical terminology, insurance companies and codes as well as policies and procedures was necessary to perform the job.



Additional Information

  • Requisition ID: 2019-R0259569

  • Schedule: Full-time

  • Shift: Day Job

  • Market: CHI-Franciscan Medical Group

About Us

We are excited to share that CHI was named as one of America’s Best Employers 2019, by Forbes. Clickhereto learn more.

Chances are, you’re here because you’re looking for a career offering greater opportunity, challenge and fulfillment. We’re confident you’ll find all three at CHI. As one of the nation’s largest nonprofit health systems, we offer a wealth of careers across more than 101 hospitals in 18 states. Our faith-based health system welcomes you to share in our mission of building healthier communities, whether as a surgeon in the operating room or an administrator in a conference room. When you work in a supportive environment with like-minded professionals, wonderful things happen. Learn More

Equal Opportunity Employment

Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applications will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic