Overview:
Responsibilities:
The Insurance Verifier is responsible for effective and efficient insurance verification of assigned payers. The insurance verification on outstanding accounts includes; telephone contact with payers and parents, work the insurance verify queue and correspondence, update accounts as necessary, request new payer codes as needed and meet productivity standards.
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Make necessary telephone or written contact with payer or utilizes electronic eligibility software to very insurance coverage.
- Verify insurance information is accurate with parents/patients.
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Send appropriate correspondence in a timely manner per standard procedures.
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Ensure consistent follow-up on outstanding accounts.
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Review and work all daily correspondence received from patients and payers.
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Perform audits on accounts as needed.
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Review the insurance verification form submitted by the hospital associate, to ensure payer coded correctly.
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Resubmits corrected claim to the carrier.
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Maintain a log of registration errors identified and submit to the management as needed.
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Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes are current and timely.
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Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
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Any patient private health information (PHI) must not be divulged on any account except to payers that need the information in order to process the claim for payment.
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Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
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Performs a variety of other duties.
Qualifications:
Education Level: High school diploma or general education degree (GED)
Experience Years: 2+ years
Experience Industry: Healthcare or Insurance
Equivalent combination of relevant education and experience will be considered.
Benefits and Compensation:
Benefits for Full Time employees and qualified dependents:
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Medical, Dental, Vision Insurance
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Progyny Fertility Benefits
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Teladoc Health and Second Opinion Services
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401(K) Thrift Program & Sharing Plan**
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Employee Stock Purchase Plan (ESPP) – 15% discount*
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Basic Employee; Spouse; Child Life Insurance
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Accidental Death and Dismemberment (AD&D)
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Employee Optional Life and AD&D
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Short & Long Term Disability
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Pre-Tax Health Savings Accounts (HSA)
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Employee and Dependent Flexible Spending Account (FSA)
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Family Medical Leave Act (FMLA)
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Parental Leave Benefit
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Sick Pay Bank
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Employee Assistance Program (EAP)
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Group Aflac Policies
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Identity Theft Protection
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Employee Charitable Fund
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Care.com
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Continuing Education Assistance
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Various Discount Programs
- Part Time Regular employee classifications also receive this benefit
**Available to part-time regular and part-time casual employees aged 21 and over
About Us:
Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.
Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.
Pediatrix is 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 or veteran status.