Verification Specialist Jobs

General Summary of Position
Verifies patient's benefits and coverage for commercial insurance, Medicare, Workman's compensation, and Medicaid. Obtains authorization for hospital admission. Supports registration and scheduling staff, has good communication skills between physicians, office staff, co-workers and patients when discussing insurance benefits and authorization for a medical procedure and or admission.

Primary Duties and Responsibilities

• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
• Obtains authorizations to ensure maximum reimbursement, to meet patient satisfaction, and maintain all payer rules and regulations, and corporate compliance.
• Maintains a professional relation with other departments within the facility, including assisting and working with and as part of the Revenue Cycle Team.
• Timely and accurately verify and schedule patients following all policy and procedures including patient identifiers and patient confidentiality.
• Verifies eligibility and benefits and obtains authorizations when needed for all services specific to the clinical department and location.
• Demonstrate ongoing knowledge and competency of the scheduling and registration systems, including applications and other assigned system tools.
• Timely and accurate completion of worklist and work queues and maintain records to insure that all required data elements and information is validated.
• Provide excellent customer service in all patient communication with the goal of providing accurate and timely registration and scheduling, educating and providing service and support as the first point of contact for MedStar St. Mary's Hospital.
• Performs duties of a registrar, as needed and maintain error rate <2%. Review registrations for accuracy, completeness, and perform any necessary corrections timely.

Minimum Qualifications
Education

• Minimum score of 80% on Customer Service, Data Entry and Medical Abbreviations tests. required and
• Associate's degree in Humanities preferred or
• Business preferred
• High School Diploma or GED required or
• Equivalent required and

Experience

• 1-2 years Experience in hospital registration required and
• Experience in hospital, and or medical office setting insurance verification and authorization process. required and

Licenses and Certifications

• CHAA - Certified Healthcare Access Associate CHAA certification, within 1 Year required

Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:

• More career opportunities closer to home—as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.
• Strategic focus on equity, inclusion, & diversity—we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
• Comprehensive total rewards package—including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
• Strong emphasis on teamwork—our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.

About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It’s how we treat people.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.