Insurance Verification Specialist

Description: The Burn and Reconstructive Centers of America (BRCA) is committed to following our mission that harkens back the first patient in 1978: Healing Patients.
Healing Families.
Healing Lives.
Our mission is important to us because it’s important to those we serve.
Since the first patient was treated at Doctors Hospital in Augusta, Georgia, in 1978, our physicians banded together to first create Physicians’ Multispecialty Group to provide patient care.
PMG evolved into Joseph M.
Still Burn Centers, Inc.
(JMS), the forerunner of BRCA.
And now BRCA continues to grow and partner with hospitals across the country to provide patient access to a continuum of care that supports the patient from initial injury through long-term rehabilitation, while ensuring no patient is turned away.
We provide quality burn, hand, wound and reconstructive care to patients through new facilities, new partnerships and the latest advancements in care.
Four decades later, BRCA is the nation’s most extensive burn system.
Patients from nearly every state in America and more than a dozen countries have been treated by our providers.
Headquartered in Augusta, GA, Burn and Reconstructive Centers of America provides services from the nation's largest individual burn center: the Joseph M.
Still Burn Center at Doctors Hospital of Augusta.
Job Purpose: Performs a variety of insurance clerical duties to include registration and verification of all patient demographics.
Essential Duties and Responsibilities: Registers all patient demographics including patients see at outside facilities.
Verifies all patient insurance.
Notifies pre-certication department of observation stays.
Check all self pay patients for Medicaid.
Print HCFA WC Claims.
Work collection reports.
Assist Spanish speaking patients.
Register all patient consults seen by Doctors associated with JMS.
Update patient’s insurance/demographic information and document any changes as needed.
Review insurance policies every 30 days.
Contact patients, employers, claim adjusters, or insurance companies, to verify workers compensation.
Contact insurance companies obtaining eligibility verification.
Obtain authorization when receiving retroactive Medicaid insurance on patient’s account.
Locate and obtain medical records for insurance’s requests, workers compensation, etc.
Comply with all safety policies, practices and procedures.
Report all unsafe activities to supervisor and/or Human Resources.
Participate in proactive team efforts to achieve departmental and company goals.
Perform other duties as assigned.
Provide leadership to others through example and sharing of knowledge/skill.
Participate in education sessions specific to corporate needs or job duties – locally or remotely, as needed.
Provide training to other employees – locally or remotely, as needed.
Maintain confidentiality of sensitive information.
Participate in all mandatory trainings relating to applicable healthcare laws and regulations, and demonstrate full compliance with those regulations, including without limitation, HIPAA, OSHA, OIG, Federal, State and local laws and regulations.
Requirements: Education Required: High school diploma or general education degree (GED) Experience: One to three years related experience and/or training Experience must be combined with Education We offer Medical/Dental/Vision/Life/401(k)/Vacation and Holidays.
Burn and Reconstructive Centers of America is an Equal Employment Opportunity Employer.