Address
Form of work
SalaryJob Summary:
- Verify that sufficient information is available for accurate verification and eligibility. This step may require direct contact with the physician office and/or the patient.
- Determine if a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance.
- Check accounts for errors in insurance demographics & updates as necessary for Medicare, Medicaid & commercial payers.
- Utilizes the INSURANCE VERIFICATION software to guarantee eligibility and check benefits for the applicable service date.
- Performs clerical and/or record keeping tasks required in the daily activities of case management work.
- Obtain clinical data from Physician office for pre-certifications, payment approval, or audits for insurance companies.
Experience
One or more years in a hospital setting with related patient registration and/or business office experience. Preferred previous experience in INSURANCE VERIFICATION, obtaining pre-certs, and clinical documentation.
Additional Skills/Abilities
Ability to interpret insurance benefits and perform simple calculations with percentages and ratios. Must have working knowledge of office machines and insurance terminology.
Requirements:
High School Diploma or GED. Minimum of two years’ experience in a healthcare business office setting. Must be able to interpret insurance benefits and perform simple calculations with percentages. Must have basic computer skills and basic knowledge of insurance terminology.
