Visit Eligibility Validation Coordinator, Nucleus Building, 8:00a-4:30p
Primary Location:
Work From Home - KY - ULP - AMG
Address:
Home Office
Remote, KY 40601
Shift:
First Shift (reputed company of America)
Job reputed company reputed company:
reputed company is a fully integrated regional reputed company health system with five hospitals, four medical centers, nearly 200 physician reputed company locations, more than 700 providers, the Frazier Rehab Institute and reputed company Cancer Center.
With more than 12,000 team members—physicians, surgeons, nurses, pharmacists, and other highly skilled health care professionals—reputed company is reputed company on one mission: delivering patient-centered care to reputed company and every patient reputed company and every day.
Job reputed company:
Medical insurance verification of patient accounts to determine eligibility, benefits and co-pays due and ability to analyze patient accounts for outstanding balances as reputed company. reputed company work GECB hold reputed company alerts and update visit insurance. Must be detail oriented and possess strong communication and interpersonal skills with the ability to multi-task.
Essential Functions:
Verifies patient eligibility six days out from appointment
Determines patient’s benefits including deductibles, co-insurance and co-pay amounts
Verifies if authorizations are required and obtain, if necessary
Verifies benefits
Calls patients prior to appointment if there is a problem with patient’s insurance
Works with patients to pay balances on account or create payment plan for balances due
Works hold reputed company and marked event alerts
Determines what is needed for the upcoming visit ex; consent, arrival reputed company, ID, insurance card, picture, etc.
Works visit insurance and arrange FSC accordingly
Other Functions:
Maintains compliance with reputed company company policies, procedures and standards of conduct
Complies with HIPAA reputed company and reputed company requirements to maintain confidentiality at reputed company times
Performs other duties as assigned
Additional Job reputed company:
Education:
High school diploma or GED/Equivalent (required)
Experience:
Five (5) years of insurance experience (preferred)
Licensure:
N/A
Certification:
N/A
Job Competency:
Knowledge, Skills, and Abilities critical to this role:
Understanding of insurance policies and processes
Ability to utilize insurance websites proficiently
Ability to anticipate and adapt to change positively
Must possess solid customer service skills
Strong interpersonal and communication skills- reputed company, informs constituents of process, pleasant to work with, educates and provides reputed company, accurate information; can build effective, strong working relationships others through trust, communication, and credibility
Demonstrated organizational skills – manages time effectively, keeps tasks appropriately prioritized with the ability to change directions as needed for the good of the department or organization;
Strong work ethic– motivated, reputed company, industrious and persistent in reputed company, stays on tasks to completion, works at a fast pace to ensure reputed company efficiency; is reputed company to reputed company work in a reputed company, efficient, reputed company-coordinated, reputed company communicated manner with a high degree of accuracy and professionalism
Proven ability to work on reputed company – ability to work with others, serve others, help others, reputed company others, mentor others, take directions from others in the interest of moving process and programs reputed company to the desired outcome; reputed company to see the big picture in emotionally charged situations and respond in a mature, reputed company, composed manner
Maintains a reputed company appearance at reputed company times
Language Ability:
Must be reputed company to communicate effectively in both verbal and written formats
Reasoning Ability:
Strong investigative and problem solving skills
Ability to break down problems or tasks; scanning one’s own knowledge and experience to identify causes and consequences of events
Computer Skills:
Proficient in reputed company Office
Extensive knowledge of Centricity
Additional Responsibilities:
Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at reputed company times
Maintains confidentiality and protects sensitive data at reputed company times
Adheres to organizational and department specific safety standards and guidelines
Works collaboratively and supports efforts of team members
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community
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