Insurance Verifier Traverse , MI

Insurance Verifier - Full Time - Traverse City, MI

4 days ago Be among the first 25 applicants

• Able to establish priorities and meet tight deadlines with strong problem‑solving ability
• 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; for scheduled patients obtains and documents pre‑authorization as appropriate for procedure, for emergent patients obtains guidelines and communicates information to Utilization Management
• Follows up on all verification issues in a timely manner and communicates information to proper departments regarding information obtained
• Responsible to stay 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
• Interprets and initiates problem solving, prioritizes work activity
• Keeps educational information, manuals and guides at team level updated and current
• Works various reports
• Meets productivity and quality standards
• Identifies and documents patient financial liability

• 2‑Year Associate Degree or equivalent experience
• 1.5 years of related experience in healthcare

• Advanced keyboard, mouse, computer and Microsoft Office skills; must learn and use 10+ 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
• Next Gen
• Cerner
• Exceptional oral and written communication skills; ability to demonstrate effective communication with patients, doctor’s offices and technicians within hospital departments, and create accurate documentation with information gathered
• Effective communication with insurance companies to obtain, verify, and create accurate documentation
• Ability to perform online insurance verification through the internet
• 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.

• Mid‑Senior level

• Full‑time

• Marketing and Product Management
• Software Development and IT Services and IT Consulting