Performs insurance verification for all patients. Identifies patient preauthorization/referral requirements and ensures they are met in a timely fashion to facilitate efficient billing and payment for elective, emergency and urgent admissions as well as add-on procedures. Serves as a liaison between ancillary departments and other Patient Access Services areas. Exemplifies qualities to all team members in service, knowledge, and certification.
Admin, Administrative, Clerk, Reception, Receptionist, Customer service, Secretary, Assistant, Clergy, Office, Typing, Clerkly, Scribal, Secretarial, Clerical, Type, Assist, Schedule, Scheduler, Scheduling
Required Skills
1. High school graduate required; associate degree or some post-secondary education desired.
2. Minimum two (2) years previous experience related to health care payer, collections or clinical office experience required.
3. Minimum of one (1) year experience working with and understanding insurance verification/benefits required. Experience with Medicaid/Medicaid HOMs, Medicare, Blue Cross, UHC, Humana, Aetna and other insurance companies is required.
4. Knowledge of admission, utilization review, billing and collection processes.
5. Minimum typing speed of 40 wpm.
6. Word processing/computer application experience and knowledge required.
7. Interpersonal skills necessary to gather and share information with physicians, patients and team members in a courteous and confidential manner, and ability to maintain positive communication skills during highly stressful situations, are required.
8. Medical terminology, medical office, registration, or billing experience preferred.
9. Excellent communication and customer service skills required, in order to serve a variety of people in a highly anxious environment and to handle incoming calls in an efficient and accurate manner.
10. Demonstrated ability to work independently.
11. Must be detail-oriented and able to multi-task proficiently in a fast-paced environment.
Required Experience
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