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About the Role
The Patient Access Insurance Coordinator supports Shriners Hospitals for Children's strategic vision by determining patient insurance eligibility and coverage. This role involves contacting payors, resolving patient access edits, and maintaining knowledge of various payor guidelines.
Responsibilities
- Performs insurance verification functions for assigned SHC facilities.
- Updates encounters in SHCIS with the appropriate eligibility and COB status.
- Documents all insurance verification actions in the health plan comment field on the encounter.
- Updates health plan based on feedback from the insurance company.
- Maintains knowledge of payor authorization/referral guidelines and updates SHCIS fields.
- Maintains a daily productivity log.
- Performs bill hold review for assigned facilities.
- Reviews bill hold worklists in the bill scrubber and updates SHCIS encounters to resolve bill holds.
- Documents actions taken to resolve bill holds in the health plan comment fields.
- Documents actions taken to resolve bill holds in the bill scrubber and assigns back to the CBO.
- Plans and organizes work to meet department and corporate goals.
- Coordinates and prioritizes assigned activities for maximum productivity.
- Makes recommendations for quality and efficiency improvements.
- Identifies system issues, assists in root cause analysis, and submits recommendations.
- Completes special projects as directed.
- Demonstrates a positive and professional image.
- Responds positively to workplace changes.
- Assumes responsibility for professional growth and development.
- Attends workshops and seminars to maintain knowledge of payor criteria.
- Maintains professional competency according to department policies.
Requirements
- 3 years of insurance verification and authorization experience
- 3 years of medical billing and utilization experience
- Strong Epic registration and scheduling experience
- Competency in MS Office
- High School Diploma / GED
Skills
- Insurance verification
- Authorization
- Medical billing
- Utilization
- Epic registration
- Epic scheduling
- MS Office
Location
- Remote
Work Type
- Remote
- Full-time
Experience Level
- 3 years
Education Level
- High School Diploma / GED
Salary/Compensations
- $21.96 - $32.94
About the Company
- Shriners Children’s is an organization that respects, supports, and values each other.
- Named as the 2025 best mid-sized employer by Forbes.
- Engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact.
- Fosters a learning environment that values evidenced based practice, experience, innovation, and critical thinking.
- Compassion, integrity, accountability, and resilience define them as leaders in pediatric specialty care.
- With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, they provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status.