Insurance Verification Representative - PPMC (1st shift, full-time)

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

The Patient Access Department at Penn Presbyterian Medical Center is seeking a full-time Insurance Verification Representatives for its Business Office. Penn Presbyterian Medical Center is a renowned center for cardiac care and ophthalmology. The campus includes the Musculoskeletal Center’s outpatient facility at Penn Medicine University City and the Pavilion for Advanced Care, which is home to Penn Medicine’s Level 1 Regional Resource Trauma Center. The Patient Access Department is dedicated to its patients while housing an exciting workplace culture dedicated to collaboration, recognizing achievements/contribution and active learning.

As an Insurance Verification Rep, you will be responsible for obtaining pre-certification and referrals for inpatient and same day encounters. Verifying benefits and pre-certify all elective, urgent and emergency admissions. Providing specialized support in the areas of insurance and billing information. Supporting the representatives solving problems and answering questions. This position will ensure access to integrated healthcare; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.

Position Description:

Responsibilities for the Insurance Verification Representative include but are not limited to the following:

• Obtaining pre-certification and referrals for inpatient and same day encounters
• Verification of benefits and pre-certification of all elective, urgent and emergency admissions
• Providing specialized support in the areas of insurance and billing information
• Supporting representatives solving problems and answering questions
• Ensuring access to integrated healthcare; achieving clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided

Qualifications:

• 
  High School Diploma or equivalent required
• Two years hospital related experience preferred
• Knowledge of third-party billing preferred

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.