Financial Planner (Bayview, Mobile)

Insurance Verification Specialist

Process insurance verifications for the Access to Care department :

• Runs and researches all consumers that present with or without insurance through Medicaid, Medicare, and other commercial insurance eligibility websites as appropriate
• Completes financial information and eligibility.
• Notifies Finance and Accounting, CarePointe and Center staff of any changes, requirements, and daily deficiencies as appropriate.
• Obtains appropriate prior authorizations as needed for services.
• Works closely with department staff to ensure that financial information is secured and correct on consumers, including that the consumer's record has appropriate up-to-date insurance verification information.
• Maintain ongoing communication with Finance and Accounting, CarePointe and other staff of any changes or requirements as needed.
• Ensures consumers are assigned to the appropriate clinicians, as appropriate, based on insurance.
• Provides coverage in department as needed and other duties as assigned.

Responsible for ensuring payor source and funding information for Hospital Admissions :

Supervision and Consultation :

Courteous and respectful towards consumers, visitors and co-workers :

Administrative and Other Related Duties as assigned :

Qualifications

High school diploma or equivalent; Associates degree preferred.

Must be computer literate, detail oriented, dependable, focused, and able to multi-task as well as have strong communication skills and follow through with deadlines. Proficiency in Microsoft office applications such as Excel and Outlook.

Experience verifying and accessing outpatient and inpatient insurance eligibility, authorization, and billing (commercial, Medicare, Medicaid, etc) is strongly preferred.

Working knowledge and familiarity of medical insurance policies is strongly preferred.