Role OverviewPerforms Medicare compliance reviews, creates accurate estimates for patient financial responsibility, and collects payments or establishes payment plans. Coordinates with utilization management staff and ensures patients have necessary logistical information.
What You Will Do
Registers patients for all services, verifies insurance eligibility and benefits, obtains pre-authorizations, and provides timely and continual coverage of assigned work areas.
Why It Might Be a Fit
Requires mature judgement, working knowledge of Microsoft programs, and ability to communicate professionally and effectively. Must adhere to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies.
Requirements
- Mature judgement in dealing with patients, physicians, and insurance representatives
- Working knowledge of Microsoft programs and familiarity with database programs
- Ability to operate general office machines such as computer, fax machine, printer, and scanner
- Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
- Ability to communicate professionally and effectively, both verbally and written
- Ability to adapt in ever-changing healthcare environment
- Ability to follow complex instructions and procedures, with a close attention to detail
- Adheres to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies
- Understanding of HIPAA privacy rules and ability to use discretion when discussing patient-related information that is confidential in nature as needed to perform duties
- Knowledge of computer programs and electronic health record programs
- Basic knowledge of medical terminology
- Exposure to insurance benefits; ability to decipher insurance benefit information
- Bilingual – English/Spanish
- Experience in Customer Service related field
- Exceptional customer service skills
- Advanced understanding of insurance knowledge and benefits
- Advanced understanding of hospital electronic medical report (EMR) system
- Intermediate medical terminology
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