Primary Responsibilities:
- Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre-registration of patients
- Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc
- Verify insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic
- Confirm that a patient’s health insurance(s) is active and covers the patient’s procedure
- Confirm what benefits of a patient’s upcoming visit/stay are covered by the patient’s insurance, including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided
- Provide proactive price estimates and work with patients so they understand their financial responsibilities
- Inform families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refer the patient to financial counseling
- Review and analyze patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible
- Ensure that initial and all subsequent authorizations are obtained in a timely manner
- May provide mentoring to less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- 6+ months of customer service experience in an office setting or professional work environment
- Intermediate level of proficiency with Microsoft Office Products
- Must be 18 years or older
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