Job Description

Location: Sebastian River Medical Center
Posted Date: 5/8/2023
Position Summary:
The insurance verification representative will be responsible for verifying insurance eligibility and benefits, securing authorizations for hospital services and coordinating with physician offices and the Patient Assistance Center (PAC) on the pre-financial clearance on elective procedures and diagnostic testing. Our insurance verification representative will be skilled in maintaining effective working relationships with co-workers, third party payors, physician offices, and the PAC while maintaining exemplary customer service skills and passion for quality healthcare. The insurance verification specialist performs insurance verification and benefits information reviews, validates authorizations for hospital services utilizing hospital information systems, payor portals, and other revenue management Patient Access tools. Communicates with the PAC, physician offices, and schedulers when there are issues with authorizations and pre-financial clearance for scheduled procedures and diagnostic testing. Knowledgeable of the principles and practices of healthcare billing, out-of-network benefits, industry and government regulations and reimbursements. Assists to initiate pre-admission registration, as needed. Confirms medical necessity requirements are met for services. Works closely with the financial counselors.

This position is subject to the COVID-19 Vaccination Policy for Steward Health Care Workforce. Employees in this position will be required to provide adequate proof of vaccination for COVID-19 by an FDA-approved vaccine prior to starting work. Steward will consider requests for exemptions from this vaccine requirement on the basis of medical condition or sincerely held religious belief in accordance with applicable Federal laws.

Steward Health Care is an Equal Employment Opportunity (EEO) employer. Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.

Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.

Additional Information
Sebastian River Medical Center (SRMC), a Steward Family Hospital, nationally recognized facility located along Treasure Coast of Florida, offering high-quality care close to home. Housing over 178 beds, and fully accredited by the Joint Commission, Sebastian River boasts over 100 affiliated physicians, over 650 nursing and ancillary staff. When patients are in need of acute hospital care, Sebastian River provides state-of-the-art technology, as well as comprehensive emergency services and award-winning surgical care.

Sebastian River Medical Center is committed to achieving the highest level of measurable quality and efficiency in the delivery of health care services that are responsive to the needs and values of our patients, physicians, employees, and visitors. Sebastian River Medical Center recently underwent a facility expansion by adding another 46 patient rooms; 3 new Endoscopy Rooms and 6 new Operating Rooms with ability to expand up to 8 Operating Rooms to better serve our community.

Application Instructions

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