Visit Eligibility Validation Coordinator

Primary Location:

Nucleus Building - ULP - AMG

Address:

300 E. Market St.
Louisville, KY 40202


Shift:

First Shift (United States of America)

Job Description Summary:

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.
With more than 12,000 team members—physicians, surgeons, nurses, pharmacists, and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description:

Position Summary and Purpose
The visit eligibility validation coordinator position exists to improve patient experience and revenue cycle performance by verifying coverage and benefits prior to ambulatory clinic visits. The VEVC team is a highly productive, metric-driven team, that provides support to clinical operations through previsit insurance work and live phone support. 
 

Essential Functions:
•    Verify patient insurance eligibility 7 days prior to appointment.
•    Identify appropriate guarantor for each visit. 
•    Identify appropriate subscriber information for all coverages associated with the visit. 
•    Accurately determine filing order.
•    Verify visit benefits and accurately calculate patient responsibility for visit including copays, deductibles, coins, and self-pay deposits. 
•    Obtain any authorization/referral information required for visit from payer. 
•    Complete all necessary registration items with patient prior to visit. 
•    Answer all incoming calls with exceptional customer service with a focus on compassionate patient-centered care.
•    Document appropriately in accordance with department expectations. 
•    Meets or exceeds productivity standards in the completion of daily assignments and accurate production. 
•    Build and maintain awareness of payer coverage rules and guidelines as well as payer portal access and user knowledge. 

Additional Job Description:

Job Requirements
(Education, Experience, Licensure and Certification)
Education:
High School Diploma or Equivalent required (required)

Experience: 
1 year of previous insurance verification experience (preferred)

Job Competency:
Knowledge, Skills, and Abilities critical to this role: 
•    Proficient in use of Outlook Office Suite, including Outlook, Word, and Teams.
•    Multitasking, able to manage multiple cases and communication with multiple parties regarding various work topics throughout the day.
•    Service-mindset, willing to support clinics and facilities in the care of patients it a high level of customer service and professionalism.
•    Team-mindset, willing to support coworkers in various specialties. 
•    Problem-solving, ability to apply knowledge in unfamiliar situations. 
•    Medical terminology, ability to review clinical documentation and extract pertinent information for insurance authorization purposes. 
•    Self-motivation, intrinsically driven towards excellence in quality, learning, and productivity.

Language Ability: 
Must be able to communicate effectively in both verbal and written formats.

Reasoning Ability:  
Able to think critically through complex patient situations, process improvements, and evidence-based practice. 
Computer Skills:
•    Required: Able to learn and maintain access to multiple websites and applications required for daily work 
•    Preferred: Familiar with Epic EHR

Additional Responsibilities:
•    Demonstrates a commitment to service, organization values, and professionalism through appropriate conduct and demeanor at all times. 
•    Maintains confidentiality and protects sensitive data at all times. 
•    Adheres to organizational and department-specific safety standards and guidelines.
•    Works collaboratively and supports efforts of team members.
•    Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff, and the broader health care community.

UofL Health Core Expectation:
At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:
•    Honoring and caring for the dignity of all persons in mind, body, and spirit
•    Ensuring the highest quality of care for those we serve
•    Working together as a team to achieve our goals
•    Improving continuously by listening, and asking for and responding to feedback
•    Seeking new and better ways to meet the needs of those we serve 
•    Using our resources wisely
•    Understanding how each of our roles contributes to the success of UofL Health