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Full time position available.
Representative is responsible for performing all functions necessary to obtain verification and pre-certification on all scheduled and non-scheduled emergency and direct admits. The person in this position will be accountable for accuracy of all insurance benefit/pre-certification information prior to billing.
Essential Duties & Responsibilities:
• Answers basic insurance questions and /or refers appropriately as necessary. • Verifies and pre-certifies insurance according to department policy • Documents all activity relative to the account. • Maintains good communication with physicians and staff to promote a good working relationship. • Demonstrates a clear understanding of insurance pre-certification requirements. • Enters all relevant insurance benefits and pre-certification information into computer. • Keeps UR and Business Services department updated on any changes in status of all in-house patients. • Demonstrates a basic understanding of Medicare, Medicaid, HMO and PPO rules, regarding inpatient vs. Observation stays and pre-certification requirements. • Assist with registrations when needed in extremely busy conditions. • Helps patients arrange payment for services that are not covered by their insurance companies Education: High School Diploma required. Experience: 1 year of experience in Hospital admissions and/or billing experience |
8am - 4:30pm
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