Participates in department staff meetings and keeps abreast of continuing education to ensure effective communication and to maintain skill competency
Attends all mandatory in-services 100% and completes all mandatory safety in-services and skill competencies as required
Seeks out education opportunities to increase knowledge in department procedures and actively participates in group projects to problem solve departmental improvement opportunities
Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units
Ensures accurate entry of patient demographic and insurance information in the ADT system
Manages incoming and outgoing calls to complete pre-registration with patients
Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage
Maintains knowledge of all stand-alone computer software programs to verify eligibility

High School Graduate
Typically requires 1 year of experience in health care, insurance industry, call center, or customer service setting
Demonstrate ability to identify and understand issues and problems
Ability to problem solve in a high profile and high stress area
Mathematical aptitude, effective communication, and critical thinking skills
Ability to prioritize and organize workload
Excellent verbal and written communication skills
Knowledge of medical terminology
Demonstrated technical proficiency including experience with insurance authorization/eligibility tools, EPIC, Microsoft Office, Internet browser and telephony systems.

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short
and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Pharmacy Insurance Clearance Specialist

Key skills