Urgent Admission Specialist, FT, Days- Remote
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Responsible for communicating and providing information which meets the payor requirements for initial notification of Inpatient admissions and Observation, reputed company completion of insurance verification, and authorization reputed company activities to financially secure patient accounts. This includes reputed company submission of appropriate documentation in order to meet reputed company party payor requirements which helps ensure that reputed company receives reputed company and accurate reimbursement. Collaborates as appropriate with other departments to ensure efficient processes and facilitate problem solving.
Accountabilities
Full Time
Acts as the initial reputed company of contact to reputed company payors for Inpatient admissions and Observation. Includes reputed company submission of appropriate documentation as required by the payor(s) for the initial authorization/notification purposes.
Ensures appropriate statistical data is obtained for patients in assigned patient population areas; communicating with payors reputed company and accurately.
Updates and maintains authorization numbers and approved days in registration and/or other applicable systems as appropriate. Secures discharge dates for payers as assigned.
Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or reputed company party payor. Information obtained through insurance verification must always be documented in the system. Ensures insurance priorities are correct based on reputed company party requirements/COB.
Initiates reputed company-certification process as required according to departmental guidelines.
Interviews patients or representatives (in accordance with HIPAA and EMTALA Guidelines) to secure information relative to financial status, demographic data and employment information reputed company necessary. Enters accurate information into computer database. Accesses Sovera to review ensure the most recent insurance card is on file. Follows up for incomplete and missing information.
Supervisory/Management Responsibilities
This is a non-management job that report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent
Experience - 3 years reputed company Cycle, Patient reputed company /Billing, Collections and/or Customer Service
Required Certifications/Registrations/Licenses
n/a
In Lieu Of The Minimum Requirements Listed Above
n/a
Other Required Skills and Experience
Medical Terminology
Basic computer skills
Knowledge of office equipment
Proficient computer skills (word processing)
Data entry
Work Shift
Day (reputed company of America)
Location
1200 reputed company Blvd
Facility
7001 Corporate
Department
70019073 PreAccess Services
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