Top 24 Insurance verification Jobs in Charleston Wv

Referral Specialist
THOM Thomas Hospitals —Charleston, WV
- Full-time
- Computer literacy
- Writing skills
- Mid-level
Central Placement Specialist
CommuniCare Health Services Corporate —Charleston, WV
- $21 an hour
- Full-time
- Medical office experience
- Mid-level
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Pre-Certification Specialist -- Orthopedics Northgate -- Northgate-100 Tracy Way
CAMC Health System —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Patient Services Representative
Retina Consultants of WV —Charleston, WV
- From $16 an hour
- Full-time
- HIPAA
- Clinic
- In-person
- Health insurance
- Dental insurance
Quick Apply
8d
Pre-Certification Specialist -- Pediatrics at WCH -- WCH-MSOB
CAMC Health System —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Pediatrics
Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center
Mon Health —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Pre-Certification Specialist -- CAMC G.I. -- Chesterfield Bldg- 2
Mon Health —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Referral Coordinator
PATEL & PATEL MD INC. —South Charleston, WV
- $14 - $16 an hour
- Full-time
- Medical office experience
- HIPAA
- High school diploma or GED
- 401(k)
- Paid time off
Quick Apply
4d
Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center
CAMC Health System —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Pre-Certification Specialist -- CAMC G.I. -- Chesterfield Bldg- 2
CAMC Health System —Charleston, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Pre-Certification Specialist -- CAMC Urology -Teays Valley -- Teays Valley-3948 Teays Valley Rd.
Mon Health —Hurricane, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Document Processing Technician
TDEC —Charleston, WV
- $19.29 an hour
- Full-time
- Mid-level
- Office
- Typing
- Paid holidays
- Health insurance
Quick Apply
Pre-Certification Specialist -- CAMC Urology -Teays Valley -- Teays Valley-3948 Teays Valley Rd.
CAMC Health System —Hurricane, WV
- Overtime
- Mid-level
- High school diploma or GED
- Medical terminology
Customer Service Representative
Contact Government Services, LLC —Charleston, WV
- $15 - $16 an hour
- Full-time
- Remote
- Spanish
- English
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Call Center Specialist
BOONE MEMORIAL HOSPITAL INC —Madison, WV
- Full-time
- Medical office experience
- High school diploma or GED
- Organizational skills
- Dental insurance
- Paid time off
Quick Apply
12d
Utilization Assistant - Acute
Highland Hospital —Charleston, WV
- Full-time
- Acute care
- Hospital
- Research
Quick Apply
1d
Practice Support Associate - Northeast Advisor Group
Thrivent —Charleston, WV
- Contract
- Microsoft Excel
- Research
- Office
Quick Apply

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Referral Specialist

THOM Thomas Hospitals
Charleston, WV

Apply Now

Job Details

Full-time

Qualifications

Customer communication
High school diploma or GED
Fax machines
Faxing

Full Job Description

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Collects comprehensive detailed patient medical information, determining the need for nursing intervention and expediting care for those deemed urgent, interpreting and applying polices and procedures, providing financial education to customers regarding benefits to assist in their understanding of personal financial liability, and obtaining insurance verification and pre-certification. Coordinates single case agreements and third party payer contracts, schedules appointments, tests and intervenes across multiple departments, clinics, and private medical offices. Coordinates medical information, records and films for upcoming appointments. Communicates patient status with internal and external providers. Answers patient phone calls and addresses concerns and needs.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School or Equivalent

EXPERIENCE:

1. Two years of clinical or customer service experience

PREFERRED QUALIFICATIONS :

EXPERIENCE:

1. Three years of experience with direct customer service

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned

1. Captures complete and accurate patient information for medical triage of all spine referrals demonstrating understanding and skill in use of the Cordata software and of practice and physician protocols

2. Effectively identifies and processes urgent patients

3. Identifies patients requiring pre-certification or pre-authorization at the time outpatient services are requested

4. Obtains external medical records and transfers them to HIM and Cordata for medical review

5. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing

6. Contacts pre-certification/insurance company to determine eligibility and benefits for requested services, as applicable

7. Advises the patient, referring physician, insurance company or provider of insurance coverage issues and customer financial responsibility

8. Obtains Workers Compensation authorization through the physician of record. Assists in completion of appropriate paperwork and documents authorization/certification numbers in the registration/billing systems and Cordata

9. Refers WVU Cares /self-pay patients to the financial counselor to determine eligibility, and to resolve questions regarding payment for treatment

10. Utilizing Epic, schedules clinic appointments with appropriate department as recommended

11. Communicates appointment date/time, directions and pre-procedure instructions with patient

12. Flags patient accounts for special notifications and informs clinic of necessary assistive devices for appointment

13. Explains insurance and payment requirements to patient

14. Receives, responds and attempts to resolve patient and referring physician/office needs and complaints appropriately and in a timely manner

15. Accurately moves patients through all stages of medical triage in Cordata system to ensure appropriate and timely care

16. Communicates patient needs and flow through the medical triage process via letter or Epic messages

17. Accurately records referring physician/office information in Cordata and submits updates/corrections to the Referring Physician Database via Ruby-on-Line as appropriate

18. Identifies duplicate Epic files and addresses issue with HIM

19. Participates in performance improvement (i.e. follows established work systems, identifies deviations or deficiencies in standards/systems/processes and communicates problems to manager or director)

20. Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth

21. Attends departmental meetings and/or documents review of meeting minutes

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

1. Frequent walking, sitting, stooping, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing duties throughout the work shift

2. Must be able to sit for extended periods of time

3. Must have reading and comprehension ability

4. Visual acuity must be within normal range

5. Must be able to communicate effectively

6. Must be able to exert in excess of 50 pounds of force occasionally to move objects

7. Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

1. Office type environment

SKILLS AND ABILITIES:

1. Communicates effectively verbally and in writing and places high emphasis on customer service with referring physicians/offices and patients.

2. Demonstrates flexibility to meet the needs of department or hospital in regard to changes in work volume, planned change, scheduling changes and emergency call-backs (i.e. weather or disaster)

3. Working knowledge of computers

4. Basic knowledge of medical terminology preferred

5. Basic knowledge of third party payers preferred

6. Excellent customer service and telephone etiquette

7. Must demonstrate the ability to use tact and diplomacy in dealing with others

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Day (United States of America)

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

THOM Thomas Hospitals

Cost Center:

550 THSP Scheduling Call Center

Address:

333 Laidley Street

Charleston

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Apply Now

Refine Your Search

insurance verification jobs in charleston wv

Referral Specialist

Central Placement Specialist

Pre-Certification Specialist -- Orthopedics Northgate -- Northgate-100 Tracy Way

Patient Services Representative

Pre-Certification Specialist -- Pediatrics at WCH -- WCH-MSOB

Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center

Pre-Certification Specialist -- CAMC G.I. -- Chesterfield Bldg- 2

Referral Coordinator

Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center

Pre-Certification Specialist -- CAMC G.I. -- Chesterfield Bldg- 2

Pre-Certification Specialist -- CAMC Urology -Teays Valley -- Teays Valley-3948 Teays Valley Rd.

Document Processing Technician

Pre-Certification Specialist -- CAMC Urology -Teays Valley -- Teays Valley-3948 Teays Valley Rd.

Customer Service Representative

Call Center Specialist

Utilization Assistant - Acute

Practice Support Associate - Northeast Advisor Group

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I want to receive the latest job alert for insurance verification in charleston wv

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Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

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