Health Insurance Verification Specialist

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Health Insurance Verification Specialist you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery.
Work you'll do/Responsibilities

• Ensure that initial and all subsequent authorizations are obtained in a timely manner
• Perform daily Financial Clearance activities
• Generate proactive price estimates
• Confirm what benefits of a patient's upcoming visit/stay are covered by the patient's insurance(s) including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided
• Verify insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic
• Perform financial clearance processes by collecting and recording all necessary information for pre-registration of patients
• Responsible for completing the financial clearance process
• Confirm that a patient's health insurance(s) is active and covers the patient's procedure
• Review and analyzes patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible
• May provide mentoring to less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role

The Team
Our Core Technology Operations (CTO) team offers differentiated operate services for our clients with solutions to help organizations scale and optimize critical business operations, drive speed to outcome, deliver business transformation, and build resilience in an uncertain future.
Our operate services within CTO include:

• Foundry Services: Operate services providing flexible, recurring resource capacity for client initiatives, projects, tasks, and enhancement
• Managed Services: Operate services that provide ongoing maintenance, monitoring, and optimization for IT/Engineering applications & products

Qualifications
Required

• Experience calling US insurance companies
• 2 years' experience with Insurance and Benefit Verification, Pre-Registration and/or Prior Authorization activities in healthcare business office/insurance operations required

Preferred

• Communication Skills: Able to communicate well in straight-forward situations
• Functional Knowledge: Knowledgeable about his/her specific job
• Problem Solving: Completes routine and repetitive tasks where tasks are straightforward