Full Description

What We Offer

Novant Health is seeking an Insurance Verification Specialist to be responsible for ensuring appropriate insurance verification, i.e. correct coverage, applicable benefits, and coordination of benefits. Responsible for reviewing authorization requirements and ensuring approvals are obtained for surgeries, radiology/ancillary appointments, and hospital stays.

Work Location: Rocky Point, North Carolina

Work Schedule: 8 am - 5 pm

Department: Home Health Services

Work Status: Non-Exempt/Hourly, 40 hours week

What You'll Do

Communicate with other hospital departments including admitting/registration, financial counseling, and utilization review. Communicate with provider offices (i.e. surgery schedulers, patient service coordinators, etc.) to ensure authorization initiation, gather additional clinical information, relay pertinent insurance information, etc. Communicate with insurance providers via phone and electronically via web portals to validate patient benefits, check authorization requirements, and review authorization status. Responsible for maintaining and properly handling inbound and outbound calls. All responsibilities should contribute to providing the remarkable patient experience, team member experience, and an overall reduction in denials and write-offs.

What We're Looking For

Education: High School Diploma or GED, required. 2 Year / Associate Degree, preferred.

Experience: Minimum one year in patient access, registration, billing, insurance and/or pre-certification, any call center or customer service experience; required. Experience with insurance carriers or third party administrators is preferred.

Additional skills required

• Excellent interpersonal and communication skills, experience and competency in customer relation skills in a professional environment. Ability to organize and prioritize work in a stressful environment. Ability to work effectively/productively as a member of a team and is self-directed in a remote work environment in various types of environments (e.g. onsite corporate locations, remote/home office).
• Good problem solving skills. Basic medical terminology. Exemplary keyboarding skills and experience in patient registration systems (i.e. Epic) and familiarity with personal computers. Ability to perform several tasks simultaneously. Ability to drive/travel to multiple locations/facilities as needed.
• Ability to understand how job performance affects the outcomes of key performance indicators such as denials and write-offs.
• Why Choose Novant Health?

At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.