Insurance Verification Representative - Full Time - Penn Medicine at Home

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.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Job Title: Insurance Verification Representative

Department:Penn Care at Home Core Unit

Entity:Penn Medicine at Home

Shift:Day shift, Monday - Friday

Join Our Team as an Insurance Verification Representative at Penn Medicine at Home!

Are you detail-oriented and passionate about making a difference in healthcare? Penn Medicine at Home is looking for a dedicated Insurance Verification Representative to join our Core Unit team. In this role, you'll play a crucial part in ensuring our patients receive the care they need by managing insurance information and authorizations.

Key Responsibilities:

• Collaborate with CORE Nurses: Work closely with our nursing team to ensure timely communication of insurance authorization information to Managed Care Companies.
• Follow Up on Authorizations: Proactively follow up with managed care companies to secure timely receipt of insurance authorizations.
• Data Management: Enter insurance authorizations into our system as they are received, ensuring accuracy and efficiency.
• Authorization Management: Process all concurrent Authorization Management information and requests in an organized and timely manner.
• Insurance Validation: Validate insurance coverage for all existing patients weekly to ensure no changes in coverage or carriers.
• Streamlined Workflow: Utilize department processes and tools to manage clinical reviews and work collaboratively with department nurses.
• Effective Communication: Keep CORE unit managers, staff, and clinical team managers informed about missing documentation and authorization statuses.
• Documentation: Document all interactions with patients, families, and payers in our computer system.
• Report Distribution: Print and distribute reports as assigned to managers and department staff.
• Patient Financial Communication: Communicate and document all patient financial risks and responsibilities to the patient, billing coordinator, and clinical team in a timely manner.

Qualifications:

• Education: High School Diploma/GED required. An Associate's degree in Business Administration or a related field is preferred.
• Experience: At least 2 years of admissions or insurance experience in a home care and/or hospice setting required.

Join us at Penn Medicine at Home and be a part of a team that values collaboration, efficiency, and patient care. Apply today and help us make a difference in the lives of our patients!

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.

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.