Insurance Verifier

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟢 Junior

🔒 Insurance

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Munson Healthcare

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1915

🏥 Healthcare

Healthcare

Munson Healthcare is northern Michigan’s largest integrated healthcare system, operating multiple hospitals and care facilities including Munson Medical Center, Cadillac Hospital, Charlevoix Hospital, Grayling Hospital, Kalkaska Memorial Health Center, Manistee Hospital, Otsego Memorial Hospital, and Paul Oliver Memorial Hospital. The system offers a broad range of inpatient and outpatient services — cancer care, cardiology, maternity, neurosciences, orthopedics, primary care, radiology and imaging, stroke care, surgery, home health, hospice, laboratory and pharmacy services, physical therapy, urgent care and virtual/telehealth visits — and supports patients with tools such as a patient portal, an Ask‑a‑Nurse hotline, and price/transparency and financial assistance resources. Munson Healthcare also provides community health programs, clinical education, and employment opportunities across its regional network.

📋 Description

• Input and update all insurance information in appropriate systems • Verify insurance eligibility online or by phone • Identify primary and secondary insurance and enter information in correct COB order • Obtain claim numbers and verify claims for Workers’ Compensation and Auto Insurance • Identify pre-authorization needs and make insurance eligibility decisions using multiple online systems • Obtain and document pre-authorization for scheduled procedures • Obtain pre-authorization guidelines for emergent patients and communicate them to Utilization Management • Follow up on verification issues and communicate information to appropriate departments • Stay current on third-party billing requirements, including Blue Cross/Blue Shield, Medicare, Medicaid, and other carriers • Perform insurance verification and obtain pre- and retro-certification information for inpatient activity • Communicate relevant information to the Utilization Management team • Refer patients to Financial Counselors for financial assistance or payment arrangements when appropriate • Handle confidential medical information

🎯 Requirements

• Must reside in Michigan • Full-time availability, Monday–Friday, 8:00 AM–4:30 PM • 2 Year / Associate Degree or equivalent experience • 1.5 years of related experience in healthcare • Medical experience is preferred • Well versed in medical terminology is highly preferred • Advanced keyboard, mouse, computer, and Microsoft Office skills • Ability to learn, access, and utilize 10+ listed computer programs within 90 days of hire • Knowledge of Outlook, Star Insurance Verification systems, Smart Web, PowerChart, FirstNet, 3M Coding, Ontrac and related tools, NextGen, and Cerner • Exceptional oral and written communication skills • Ability to communicate effectively with patients, doctors’ offices, hospital technicians, departments, and insurance companies • Ability to create accurate documentation from gathered information • Ability to perform online insurance verification through the Internet • Ability to adapt to change and complete continuing advanced education requirements • Must meet Munson Healthcare vaccination requirements for Measles, Mumps, Rubella, and Varicella, or have lab-confirmed immunity • Must receive a flu vaccine during the hiring year and annually thereafter, unless granted an approved medical or religious exemption

🏖️ Benefits

• Tuition reimbursement • In-person and online development • Access to career hub • Full benefits • Paid holidays • Generous PTO • Employee discounts • Free individual retirement counseling • Free wellness platform for you and your family • Personalized support for personal or family challenges