FINANCIAL INVESTIGATIONS REPRESENTATIVE

To fully investigate insurance coverage and patient liability in order to assist the Credit Manager with cash recovery.

RESPONSIBILITIES

• Conducts insurance verification for assigned pre-registrations to validate insurance data, identify patient responsibility and confirm proper authorization is obtained. Where appropriate, communicates discrepancies to appropriate department or manager.
• Utilizes all tools and resources currently available to streamline the workflow of financial assessment, including Omnipro, Epaces, Relay Health, telephone and other internet sources.
• Identifies copay/deductible responsibilities and documents this within the system to facilitate collection efforts by the Registration area.
• Works collaboratively with Central Registration, Scheduling and Patient Accounting to communicate errors, facilitate education, training and provide support to maintain consistency and insurance accuracy within the workflow.
• Prioritizes insurance verification needs and registration support to facilitate the data processing required for add-on and stat procedures in accordance with department protocol.
• When necessary, contacts physician offices for authorization and insurance information.
• Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism. Adheres to the departmental dress code policy and maintains a professional appearance and positive attitude.
• Promotes cooperative relationships with other departments with the intention of enhancing services to customers, including but not limited to: patients, clinicians, physicians, and support staff. Communicates effectively within the department and keeps management informed on key issues.
• Performs other related duties as assigned by Department Management.

QUALIFICATIONS/REQUIREMENTS

EXPERIENCE

• Insurance knowledge

EDUCATION

• High School diploma

To fully investigate insurance coverage and patient liability in order to assist the Credit Manager with cash recovery.

RESPONSIBILITIES

• Conducts insurance verification for assigned pre-registrations to validate insurance data, identify patient responsibility and confirm proper authorization is obtained. Where appropriate, communicates discrepancies to appropriate department or manager.
• Utilizes all tools and resources currently available to streamline the workflow of financial assessment, including Omnipro, Epaces, Relay Health, telephone and other internet sources.
• Identifies copay/deductible responsibilities and documents this within the system to facilitate collection efforts by the Registration area.
• Works collaboratively with Central Registration, Scheduling and Patient Accounting to communicate errors, facilitate education, training and provide support to maintain consistency and insurance accuracy within the workflow.
• Prioritizes insurance verification needs and registration support to facilitate the data processing required for add-on and stat procedures in accordance with department protocol.
• When necessary, contacts physician offices for authorization and insurance information.
• Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism. Adheres to the departmental dress code policy and maintains a professional appearance and positive attitude.
• Promotes cooperative relationships with other departments with the intention of enhancing services to customers, including but not limited to: patients, clinicians, physicians, and support staff. Communicates effectively within the department and keeps management informed on key issues.
• Performs other related duties as assigned by Department Management.

QUALIFICATIONS/REQUIREMENTS

EXPERIENCE

• Insurance knowledge

EDUCATION

• High School diploma

To fully investigate insurance coverage and patient liability in order to assist the Credit Manager with cash recovery.

RESPONSIBILITIES

• Conducts insurance verification for assigned pre-registrations to validate insurance data, identify patient responsibility and confirm proper authorization is obtained. Where appropriate, communicates discrepancies to appropriate department or manager.
• Utilizes all tools and resources currently available to streamline the workflow of financial assessment, including Omnipro, Epaces, Relay Health, telephone and other internet sources.
• Identifies copay/deductible responsibilities and documents this within the system to facilitate collection efforts by the Registration area.
• Works collaboratively with Central Registration, Scheduling and Patient Accounting to communicate errors, facilitate education, training and provide support to maintain consistency and insurance accuracy within the workflow.
• Prioritizes insurance verification needs and registration support to facilitate the data processing required for add-on and stat procedures in accordance with department protocol.
• When necessary, contacts physician offices for authorization and insurance information.
• Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism. Adheres to the departmental dress code policy and maintains a professional appearance and positive attitude.
• Promotes cooperative relationships with other departments with the intention of enhancing services to customers, including but not limited to: patients, clinicians, physicians, and support staff. Communicates effectively within the department and keeps management informed on key issues.
• Performs other related duties as assigned by Department Management.

QUALIFICATIONS/REQUIREMENTS

EXPERIENCE

• Insurance knowledge

EDUCATION

• High School diploma

To fully investigate insurance coverage and patient liability in order to assist the Credit Manager with cash recovery.

RESPONSIBILITIES

• Conducts insurance verification for assigned pre-registrations to validate insurance data, identify patient responsibility and confirm proper authorization is obtained. Where appropriate, communicates discrepancies to appropriate department or manager.
• Utilizes all tools and resources currently available to streamline the workflow of financial assessment, including Omnipro, Epaces, Relay Health, telephone and other internet sources.
• Identifies copay/deductible responsibilities and documents this within the system to facilitate collection efforts by the Registration area.
• Works collaboratively with Central Registration, Scheduling and Patient Accounting to communicate errors, facilitate education, training and provide support to maintain consistency and insurance accuracy within the workflow.
• Prioritizes insurance verification needs and registration support to facilitate the data processing required for add-on and stat procedures in accordance with department protocol.
• When necessary, contacts physician offices for authorization and insurance information.
• Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism. Adheres to the departmental dress code policy and maintains a professional appearance and positive attitude.
• Promotes cooperative relationships with other departments with the intention of enhancing services to customers, including but not limited to: patients, clinicians, physicians, and support staff. Communicates effectively within the department and keeps management informed on key issues.
• Performs other related duties as assigned by Department Management.

QUALIFICATIONS/REQUIREMENTS

EXPERIENCE

• Insurance knowledge

EDUCATION

• High School diploma

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