Job Summary:
Under direct supervision, responsible for performing any combination of routine calculating, posting and verifying duties to obtain primary insurance data for use in preparing statements to patients’ insurance carriers. May prepare notices to patients of amount expected (or received) from insurance and amount expected from patient.
Job Duties:
Performs any combination of routine verification and authorization to obtain insurance data for use in preparing statements to patient’s insurance carriers.
Obtains referral/authorization for scheduled services.
Verifies insurance coverage with insurance companies and state agency programs.
Accepts payments from patients or patient representatives.
Processes in-bound calls from patients, patient representatives, insurance companies, and other departments to provide assistance and resolve patient account billing inquiries.
Resolves other billing inquiry assignments.
Resolves inquiries in a quick and accurate manner based on policies and procedures.
Maintains records of contacts and agreements with patients or patient representatives.
Ensures integrity and completeness of account system to include demographics, coverage and guarantor information with an emphasis on denial management.
Responsible for account maintenance quality as directed by management team in accordance with system policy and processes.
Responsible for telephone eligibility support.
Participates in quality control and solution recommendations to include notification to management team of process issues.
Prepares accurate and thorough documentation of all issues related to team business within Epic PM.
Performs all other duties as assigned.
Education:
High school diploma or GED is required.
Experience:
One (1) year related experience is required.
Additional Licenses and Certifications:
None.
Additional Information
