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Patient Access Insurance Verifier (Temp)

Company

Shriners Children's

Address , Remote
Employment type TEMPORARY
Salary
Expires 2023-06-09
Posted at 1 year ago
Job Description
Company Overview:
#LI-Remote

Shriners Children’s is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience defines us as leaders in pediatric specialty care for our children and their families.
Job Overview:
Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center. We have an opportunity for a remote Patient Access Insurance Verifier - Epic for our Headquarters location.

This is being filled as a Temp role through a staffing agency.

Under the leadership of the Corporate Patient Access Manager, the Patient Access Insurance Verifier - Epic is an active member of the Patient Financial Services and Patient Access team that delivers support consistent with the strategic vision, goals, philosophy and direction of Shriners Children's (SHC) organization. The Patient Access Insurance Verifier - Epic is responsible for determining the status of a patient’s insurance eligibility/coverage by contacting the appropriate insurance or third party payor in accordance with Shriners Hospitals for Children policies and procedures. The Insurance Verifier - Epic will have a thorough knowledge and understanding of Commercial, Managed Care, Medicaid, Managed Medicaid and Medicare payor guidelines and eligibility criteria. The Insurance Verifier - Epic will report into Shriners Children's headquarters office, but perform insurance verification for assigned hospitals located throughout the country.

Shriners Children's is an EOE/Drug-Free, Smoke-Free Workplace.
Responsibilities:
Position Responsibilities:
  • Maintains a detailed level of knowledge of all payors authorization/referral guidelines and updates all appropriate fields in SHCIS to drive encounters to worklists
  • Plans and organizes the work and activities of area of responsibility to ensure department and corporate goals are met
  • Updates health plans as needed based on feedback from the insurance company.
  • Coordinates and prioritizes assigned activities to achieve maximum productivity
  • Updates encounters in Shriners Children's I.S. (SHCIS) with the appropriate eligibility and COB status
  • Completes special projects as directed by the Manager of Patient Access
  • Demonstrates a positive and professional image at all times when interacting with management, staff and others
  • Under direction from the Corporate Patient Access Manager, performs insurance verification functions for assigned SHC hospitals
  • Attends workshops and seminars, read manuals and updates to maintain a high level of knowledge of all payor criteria
  • Responds positively to necessary changes in the workplace
  • Identifies Cerner system issues, assists in identifying root causes of issues and submit recommendations to Manager of Patient and IS department for resolution
  • Performs other related job duties as assigned
  • Documents in the health plan comment field on the encounter all actions that have been taken on the account related to insurance verification
  • Makes recommendations to Manager of Patient Access for quality and efficiency improvements
  • Maintains professional competency, according to department policies, procedures and protocols
  • Assumes responsibility for professional growth and development
Qualifications:
Experience Required/Preferred:
  • 3 years’ experience required working as an Insurance Verifier within an acute care hospital, physician practice or other healthcare setting
  • 1 year of experience working with Epic EMR required
  • Experience working within a Children’ hospital experience preferred

Education Required/Preferred:
  • High School Degree or GED required

Knowledge, Skills & Abilities:
  • Strong analytical and problem solving skills
  • Exhibits competency in the use of Microsoft Word, Excel, Word Perfect, PowerPoint, Visio
  • Well-developed communication skills required