Insurance Verifier
UHS
Summary
Rockford Center is a 138-bed mental health facility located in Newark, DE, providing easy access to a full complement of inpatient and partial behavioral health programs for children and adolescents, adults, and older adults.
Job description
Position Summary
The selected candidate will be responsible for verifying patient insurance coverage and benefits for inpatient behavioral health services. This role involves coordinating with insurance providers to ensure accurate billing and reimbursement, as well as assisting patients with understanding their coverage options.
Responsibilities
- Verifies Medicare benefits via the CWF and identifies potential financial issues timely.
- Informs Assessment Department and CBO Director of financial issues immediately upon identifying matter.
- Verifies insurance benefits within a 24-hour time frame for all admissions received during regular business hours. Weekend admissions should be verified no later than Monday of the following week.
- Initiates phone calls to insurance companies to determine extent of coverage, certification requirements and other policy limitations, deductible and co-insurance.
- Enters verification into the AS400 system, timely and accurately.
- Ensure that financial class and claim submission address is correct.
- Notes should be entered immediately following verification if patient is in-house.
- Reviews all insurance information loaded by the Assessment and Referral Department for accuracy and completeness. Identify and rectify problems.
- Notifies CBO Director of negative trends pertaining to payers.
- Scanning admission documents onto Document Imaging.
- Completes review of Admission packets in a timely manner.
Requirements
- High school diploma/GED
- Previous insurance verification experience desirable
- Medical terminology desirable
- Strong communication skills
- Excellent customer service and organization skills
- Highly effective listening skills
- Strong clinical skills
Benefits
- Competitive Compensation
- Generous Paid Time Off
- Medical, Dental & Vision Plans
- Prescription Drug Plan
- 401(k) with company match
- Discounted stock plan
- SoFi Student Loan Refinancing
- Career development opportunities
- Tuition Assistance
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.