Job Description
Job Overview
This position is responsible for verifying patient insurance, confirming benefits eligibility, performing authorization and pre-certification, calculating and estimating patient liability, and/or notification as required by third party coverage providers. Purpose of this job is to verify that TriHealth patient insurance information is accurate and up to date so payment will be received for services rendered. Additionally, this position requires the ability to discuss complex medical terms and prior treatment with physician office staff.
Job Requirements
High School Degree
Medical terminology course or equivalent knowledge
Knowledge of Medical terminology
Insurance vocabulary and Processes
Government and Non-government third party benefits and coverage rules
Understanding of the impact financial clearance services has on revenue cycle operations and financial performance
1-2 years experience Customer Service Healthcare Dedication to treating both internal and external constituents as clients and customers Maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality Background in managed care or patient billing
1-2 years experience Technical Healthcare
Must have one year experience in insurance verification or precertification experience
Experience with automated patient account system or online verification systems
Job Responsibilities:
Other Job-Related Information
Working Conditions
Climbing - Rarely
Concentrating - Consistently
Continous Learning - Frequently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Rarely
Interpersonal Communication - Consistently
Kneeling - Rarely
Lifting
TriHealth is an equal opportunity employer. We are committed to fostering a diverse and inclusive workforce.
