Penn Medicine, University of Pennsylvania Health System
Insurance Verification Analyst - Part Time
Penn Medicine, University of Pennsylvania Health System, Lawrenceville, New Jersey, United States
Insurance Verification Analyst - Part Time
1 day ago Be among the first 25 applicants
Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Summary
Under general supervision, the Insurance Verification Analyst is responsible for obtaining insurance pre‑certification, obtaining referrals for scheduled surgeries, procedures and diagnostic appointments, and updating insurance information to ensure accurate and timely reimbursement.
Responsibilities
Performs follow‑up on assigned third‑party accounts for scheduled surgeries and diagnostic appointments, verifying eligibility, obtaining benefits, ensuring referrals, and completing pre‑determination or authorization requirements. Utilizes web‑based applications to follow up on outstanding items and contacts insurance companies, physician offices, and patients as needed to verify coverage and authorization within established guidelines.
Processes correspondence from insurance companies, case management and other departments within specified time limits, provides patients with an estimate of out‑of‑pocket expenses, and attempts to collect payment or offers payment plan arrangements prior to visit.
Determines and documents out‑of‑pocket responsibility for services as related to insurance contracts or PMPH Fee Schedules, refers patients to Financial Counselor for financial assistance if necessary, and follows established protocols to communicate rescheduling or cancellation of appointments if authorization is not obtained prior to service date.
Reviews Verification Work queues to ensure that authorization and/or referrals are obtained per established timelines, works collaboratively with departmental associates and other hospital associates, and accurately interprets and explains various healthcare insurance plans, coverage, benefits, and patient payment responsibilities.
Education or Equivalent Experience
H.S. Diploma/GED (Required)
At least two (2) years’ experience working with healthcare insurance
Bachelor of Arts or Science
Vocational / Technical School / Diploma Program preferred
Associate of Arts or Science
Associate’s Degree preferred
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Salary Range $18.11 - $28.86 / Hourly
As part of their job offer, successful candidates are provided a specific rate, taking into consideration various factors including experience and education.
Click here for information on UPHS’s Benefits.
Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Seniority level
Entry level
Employment type
Part‑time
Job function
Administrative
Industries
Wellness and Fitness Services
Hospitals and Health Care
Medical Practices
#J-18808-Ljbffr
Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Summary
Under general supervision, the Insurance Verification Analyst is responsible for obtaining insurance pre‑certification, obtaining referrals for scheduled surgeries, procedures and diagnostic appointments, and updating insurance information to ensure accurate and timely reimbursement.
Responsibilities
Performs follow‑up on assigned third‑party accounts for scheduled surgeries and diagnostic appointments, verifying eligibility, obtaining benefits, ensuring referrals, and completing pre‑determination or authorization requirements. Utilizes web‑based applications to follow up on outstanding items and contacts insurance companies, physician offices, and patients as needed to verify coverage and authorization within established guidelines.
Processes correspondence from insurance companies, case management and other departments within specified time limits, provides patients with an estimate of out‑of‑pocket expenses, and attempts to collect payment or offers payment plan arrangements prior to visit.
Determines and documents out‑of‑pocket responsibility for services as related to insurance contracts or PMPH Fee Schedules, refers patients to Financial Counselor for financial assistance if necessary, and follows established protocols to communicate rescheduling or cancellation of appointments if authorization is not obtained prior to service date.
Reviews Verification Work queues to ensure that authorization and/or referrals are obtained per established timelines, works collaboratively with departmental associates and other hospital associates, and accurately interprets and explains various healthcare insurance plans, coverage, benefits, and patient payment responsibilities.
Education or Equivalent Experience
H.S. Diploma/GED (Required)
At least two (2) years’ experience working with healthcare insurance
Bachelor of Arts or Science
Vocational / Technical School / Diploma Program preferred
Associate of Arts or Science
Associate’s Degree preferred
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Salary Range $18.11 - $28.86 / Hourly
As part of their job offer, successful candidates are provided a specific rate, taking into consideration various factors including experience and education.
Click here for information on UPHS’s Benefits.
Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Seniority level
Entry level
Employment type
Part‑time
Job function
Administrative
Industries
Wellness and Fitness Services
Hospitals and Health Care
Medical Practices
#J-18808-Ljbffr