Insurance Verification Clerk in Beckley, WV at Raleigh General Hospital

Date Posted: 11/26/2022

Job Snapshot

Job Description

Raleigh General Hospital

Perform timely and accurate insurance verification and appropriately documenting verification in system.
Conducts patient/guarantor interviews to gather additional information related to insurance benefits and/or coverage.

Verifies insurance benefits and obtains precertification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.

Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy, assigning medical record number if appropriate.

Distributes and explains forms, documents, and educational handouts to patients or family members, ensures all necessary signatures are obtained for treatment.

Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.

Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.

Researches the patients visit history to ensure compliance with third party payer requirements, completing appropriate documentation as applicable.

Collects co-pays and other funds from patients based upon established criteria.

Reports to: Assistant Director of Patient Registration

Job Requirements

Minimum Education

High school diploma or equivalent - Required or 3 years of directly related experience may be substituted for the required education.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment.Knowledge of medical terminology strongly preferred.

Ability to operate standard office equipment, including but not limited to, computer, printer, copier, fax, calculator.

Time management and organizational skills.

Minimum Work Experience

Medical terminology, billing and/or collection experience preferred. Computer experience required.


LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.

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