Boston Medical Center Looking for Insurance Verification Specialist, Per Diem at Boston, MA  Full Time

Position: Insurance Verification Specialist

Department: Insurance Verification

Schedule: Per Diem

POSITION SUMMARY:

The Insurance Verification Specialist role is an important part of the Revenue Cycle Patient Access team and is responsible for coordinating all financial clearance activities by navigating all referral, precertification, and/or authorization requirements as outlined in payer-specific guidelines and regulations. The role plays an important dual role by helping to coordinate patient access to care while maximizing BMC hospital reimbursement.

JOB REQUIREMENTS

EDUCATION:

• High School Diploma or Equivalent required, Associates degree or higher preferred.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• Case manager and/or coding certification desirable

EXPERIENCE:

• 4-5 years medical billing/denials/coding/and/or inpatient admitting experience desirable

KNOWLEDGE AND SKILLS:

• General knowledge of healthcare terminology and CPT-ICD10 codes.

• Complete understanding of insurance is preferred.

• Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view.

• Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.

• Knowledge of and experience within Epic is preferred.

• Demonstrates technical proficiency within assigned Epic work queues and applicable ancillary systems, including but not limited to: ADT/Prelude/Grand Central, HB & PB Resolute.

• Demonstrates proficiency in Microsoft Suite applications, specifically Excel, Word, and Outlook.

• Displays a thorough knowledge of various sections within the work unit in order to provide assistance and back-up coverage as directed.

• Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards. IND123

We will provide consistently excellent and accessible health services to all in need of care regardless of status or ability to pay – exceptional care, without exception.

Boston Medical Center participates in the Electronic Employment Verification, Program. As an E-Verify employer, all employees are also subject to completing a background check.

Boston Medical Center’s policy is to ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. We view the principle of equal employment opportunity as a vital element in the employment process and as a hallmark of good management.

BMC is an equal employment/affirmative action employer. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to [email protected] or call 617-638-8582 to let us know the nature of your request.