Insurance Verification Rep
CommonSpirit Health, Omaha, NE, United States
Insurance Verification Rep
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.
The posted compensation range of $15.67 - $22.14/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
As an Insurance Verification Representative, you will provide critical pre-service support and meticulous verification of patient insurance benefits, ensuring financial clarity and a smooth patient experience. Every day you will expertly contact insurance payers, confirm coverage details, identify patient responsibilities, and meticulously document all findings to facilitate accurate billing and address potential financial barriers to care. To be successful, you will demonstrate outstanding attention to detail, strong communication skills, and a persistent, customer-focused demeanor, contributing significantly to revenue integrity and informed patient access.
Applies a thorough understanding/interpretation of Verification of Benefits (VOB) to, confirm patient eligibility
Communicates effectively over the phone and through written correspondence with providers, clinical staff, clinic managers, and payers to obtain VOB, and behavioral authorizations.
Applies understanding and knowledge of medical terminology, payer guidelines, CPT codes, ICD-10 codes to ensure appropriate behavioral authorizations are obtained
Recognizes when additional assistance is needed to resolve complex issues and escalates appropriately and timely through defined communication and escalation channels.
Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides.
Works the claim edit work queues timely and efficiently to correctly resolve the error.
Required
Local candidates will need to train 6 months in office before going remote
From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.
Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards
CommonSpirit Health is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].
CommonSpirit Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health participates in E-Verify.
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.
The posted compensation range of $15.67 - $22.14/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
As an Insurance Verification Representative, you will provide critical pre-service support and meticulous verification of patient insurance benefits, ensuring financial clarity and a smooth patient experience. Every day you will expertly contact insurance payers, confirm coverage details, identify patient responsibilities, and meticulously document all findings to facilitate accurate billing and address potential financial barriers to care. To be successful, you will demonstrate outstanding attention to detail, strong communication skills, and a persistent, customer-focused demeanor, contributing significantly to revenue integrity and informed patient access.
Applies a thorough understanding/interpretation of Verification of Benefits (VOB) to, confirm patient eligibility
Communicates effectively over the phone and through written correspondence with providers, clinical staff, clinic managers, and payers to obtain VOB, and behavioral authorizations.
Applies understanding and knowledge of medical terminology, payer guidelines, CPT codes, ICD-10 codes to ensure appropriate behavioral authorizations are obtained
Recognizes when additional assistance is needed to resolve complex issues and escalates appropriately and timely through defined communication and escalation channels.
Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides.
Works the claim edit work queues timely and efficiently to correctly resolve the error.
Required
Local candidates will need to train 6 months in office before going remote
From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.
Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards
CommonSpirit Health is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].
CommonSpirit Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health participates in E-Verify.