Insurance Verifier

🔥 14 hours 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 insurance information in appropriate systems • Verify eligibility of all insurance coverage 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 requirements and determine insurance eligibility using multiple online systems • Obtain and document pre-authorization for scheduled patients • Obtain pre-authorization guidelines for emergent patients and communicate them to Utilization Management • Follow up on verification issues and communicate information to appropriate departments • Keep current on third-party billing requirements • Perform insurance verification and obtain pre- and retro-certification information for inpatient activity • Communicate 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 • 2 Year / Associate Degree or equivalent experience • 1.5 years of related experience in healthcare and third party required • Medical experience is preferred • Well versed in medical terminology is highly preferred • Advanced keyboard, mouse, computer and Microsoft Office skills • Must have knowledge and ability to learn, access and utilize 10+ listed computer programs within 90 days of hire • Must possess exceptional oral and written communication skills • Ability to communicate effectively with patients, doctors' offices, technicians, hospital departments, and insurance companies • Ability to create accurate documentation • Ability to perform online insurance verification through the Internet • Must demonstrate ability to adapt to change and keep up with continued advanced education requirements • Must be vaccinated or have lab-confirmed immunity for Measles, Mumps, Rubella and Varicella, or meet applicable requirements • Must receive an annual flu vaccine during flu season or have an approved medical or religious exemption

🏖️ Benefits

• Tuition reimbursement • In-person and online development • Access to a 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