at Trinity Health in Westchester, Illinois, United States
Job Description
Employment Type:
Full time
Shift:
Day Shift
Description:
At Loyola, we know you’re more than your job. We see you and all your potential. That’s why we invest in our people. Flexible scheduling, tuition reimbursement and day one benefits… at Loyola, what’s important to you, is important to us. Join our family.
- Benefits from Day One
- Daily Pay
- Career Development
- Tuition Reimbursement
- On Site Fitness Center (Gottlieb Memorial Hospital & LUMC)
- Referral Rewards
The Pre-certification Representative ensures that patients scheduled for services are financially cleared before those services are rendered. This role involves completing insurance verification and pre-certification of a patient’s insurance coverage.
Position Responsibilities:
+ Verify patient’s insurance coverage by contacting insurance carriers via phone or computer system.
+ Complete pre-certification of insurance coverage by coordinating with insurance groups through phone and computer systems.
+ Collaborate with insurance carrier representatives and physicians to resolve any delays in pre-certification.
+ Update and correct data in EPIC to ensure accurate demographic and insurance information for clean claim submissions and timely payments.
+ Maintain a working knowledge of payor pre-certification requirements for effective account resolution.
Qualifications:
+ Experience in insurance verification and pre-certification processes.
+ Proficiency in using computer systems and software for data entry and insurance verification.
+ Strong communication skills for coordinating with insurance carriers and healthcare professionals.
+ Detail-oriented with the ability to update and maintain accurate records in EPIC.
Shift- 7:30-4pm
Position Requirements:
Minimum Education:
Required: High School Diploma plus training acquired through work experience or education
Preferred : Administrative or technical background acquired through completion of 2 – 3 years of college
Minimum Experience :
Required: 1-2 years of previous job-related experience
Preferred: 3-5 years of previous job-related experience
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
To view full details and how to apply, please login or create a Job Seeker account