Raleigh General Hospital

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Raleigh General Hospital is a 300 bed facility caring for nearly 13,000 patients each year with over 50,000 being treated in our emergency room. We offer a wide range of surgical services as well as specialty programs including Cardiac CTA, Digital Mammography, and Trauma Services.

Where We Are:

Beckley is an ideal place to live and boasts many scenic, cultural, and recreational opportunities. From restaurants and breweries to art galleries and unique attractions, Beckley is an outdoor playground with something for all tastes.

Why Choose Us:

Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
Competitive Paid Time Off / Extended Illness Bank package for full-time employees
Employee Assistance Program – mental, physical, and financial wellness assistance
Educational assistance and tuition assistance for qualified applicants
Professional development opportunities and CE assistance
And much more…

Position Summary:

Perform timely and accurate insurance verification and appropriately documenting verification in system.
Conducts patient/guarantor interviews to gather additional information related to insurance benefits and/or coverage.

Essential Functions:

Verifies insurance benefits and obtains precertification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.

Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy, assigning medical record number if appropriate.

Distributes and explains forms, documents, and educational handouts to patients or family members, ensures all necessary signatures are obtained for treatment.

Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.

Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.

Researches the patients visit history to ensure compliance with third party payer requirements, completing appropriate documentation as applicable.

Collects co-pays and other funds from patients based upon established criteria.

Reports to: Assistant Director of Patient Registration

Minimum Education
x High school diploma or equivalent Preferred x Required or 3 years of directly related experience may be substituted for the required education.

Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment.
Knowledge of medical terminology strongly preferred.
Ability to operate standard office equipment, including but not limited to, computer, printer, copier, fax, calculator.
Time management and organizational skills.

Minimum Work Experience
Medical terminology, billing and/or collection experience preferred. Computer experience required.

EEOC Statement:

Raleigh General Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Raleigh General Hospital

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Insurance Verification Clerk