Employment Type:

Part time

Shift:

Day Shift

Description:

Job Title: Insurance Verification Specialist

Employment Type: Part-Time

Shift: This role offers flexibility: the colleague may work either four 5‑hour shifts or five 4‑hour shifts, scheduled Monday through Friday.
Location: Onsite requirement for training at 41 University Dr, Newtown, PA 18940 then will move remote.

Job Description:

The Insurance Verification Specialist will be responsible for ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region which includes, Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne.

• Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling.

• Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections.

• Begins the overall patient experience and initiates the billing process for any services provided by the hospital.

Minimum Qualifications:

• High School Diploma or equivalent.

• Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.

• National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

• Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.

Additional Qualifications (nice to have):

• Associates Degree, preferred.

• Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting.

• Experience in complex facility based ancillary testing across multiple facilities/states.

• Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.

Position Highlights and Benefits:

• Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from the first day of employment. 

• Work/Life balance with flexible schedules. 

• Free onsite parking. 

• Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.  

• Referral Rewards Program

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.