Job Summary: 

• Monitor and maintain the daily and weekly surgery caseload.
• Contact insurance (Commercial, Government and Workers Comp).
• Verify coverage, acquire authorization numbers and prepare patient cost estimate, surgical and implant charges.
• Contact patients to review surgery estimates and discuss payment options.
• Responsible for initiating payment plans.
• Computer data entry for insurance information.
• Communicate with physician offices.
• Perform patient representative/receptionist responsibilities.
• Answer, screens and routes incoming calls in a professional manner.
• Inform the Business Office Manager of applicable day-to-day situations.

Skills on Resume:

• Surgery Caseload Management (Hard Skills)
• Insurance Verification (Hard Skills)
• Cost Estimation (Hard Skills)
• Patient Communication (Soft Skills)
• Payment Plans (Hard Skills)
• Data Entry (Hard Skills)
• Physician Coordination (Soft Skills)
• Reception Duties (Soft Skills)

Job Summary: 

• Contact insurance companies via phone to verify coverage and benefits available.
• Obtain proper authorization on ALL inpatient cases.
• Review present and or previous accounts for additional information.
• Review face sheets and account information via document imaging to ensure information is correct.
• Verify insurance information via various electronic means.
• Contact the patient for further information (i.e., workers comp, no fault, or coordination of benefits).
• Review and revise patient accounts.
• Enter notes on the system as per departmental policy.
• Take proper action on accounts as per departmental policy.
• Forward all verification sheets for scanning.

Skills on Resume:

• Insurance Verification (Hard Skills)
• Authorization Management (Hard Skills)
• Account Review (Hard Skills)
• Document Accuracy (Hard Skills)
• Patient Communication (Soft Skills)
• System Documentation (Hard Skills)
• Policy Compliance (Hard Skills)
• Record Management (Hard Skills)

Job Summary: 

• Collect all co-pays and/or deductibles fees.
• Perform complete and accurate registration functions.
• Provide information that maximizes reimbursement, achieves collection ratios, meets account receivable (A/R) goals and provides timely information for all areas in the facility.
• Inpatient, Observation, Follow-up for Outpatient/Inpatient Surgery.
• Verify insurance requirements and obtain and understand insurance benefits via telephone or online services.
• Obtain referrals, pre-certification.
• Cover Bed Control and Census reconciliation.
• Act as a greeter at the point of patient interview.
• Effectively uses Meditech, electronic mail, and websites pertaining to authorizations and job functionalities.

Skills on Resume:

• Co-Pay Collection (Hard Skills)
• Patient Registration (Hard Skills)
• Reimbursement Optimization (Hard Skills)
• Case Follow-Up (Hard Skills)
• Insurance Verification (Hard Skills)
• Referral And Precertification (Hard Skills)
• Census Reconciliation (Hard Skills)
• Patient Greeting (Soft Skills)

Job Summary: 

• Perform departmental administrative functions.
• Ensure that financial protocols and requirements are met while providing caring access to services at Christ.
• Follow up on all inpatient authorizations.
• Maintain a professional appearance.
• Perform patient interviews for clarity of insurance.
• Act as a liaison with case management and all inpatient accounts for all areas of the hospital.
• Enter appropriate information into all computer systems.
• Obtain accurate patient demographics, insurance benefits, financial liability and pre-certification information from patients, physicians' offices and/or insurance companies for services to be rendered and/or in the process of being rendered at the facility, either via telephone and/or face-to-face.

Skills on Resume:

• Administrative Support (Hard Skills)
• Financial Compliance (Hard Skills)
• Authorization Follow-Up (Hard Skills)
• Professional Appearance (Soft Skills)
• Patient Interviews (Soft Skills)
• Case Liaison (Soft Skills)
• Data Entry (Hard Skills)
• Information Collection (Hard Skills)

Job Summary: 

• Work with and assist a wide range of individuals in a variety of situations.
• Listen and resolve patient questions, comments and concerns.
• Use a medical reference system to verify patient demographics, insurance coverage and research insurance company requirements for exams.
• Update and monitor internal systems with insurance carrier changes.
• Use online tools to research prior authorizations.
• Check the internal system to ensure that a script and appointment match what was ordered.
• Use HeathELink to obtain prior reports or images.
• Work with department staff and assistants.
• Perform computer skills with accuracy and efficiency.
• Communicate effectively with patients and their family members, team members, supervisors, managers and Radiologists.
• Establish and maintain good rapport and a positive attitude towards all other departments, patients and referring physicians.
• Maintain an organized and efficient work area.
• Attend all department meetings to stay abreast of department goals and policies.

Skills on Resume:

• Team Assistance (Soft Skills)
• Patient Resolution (Soft Skills)
• Insurance Verification (Hard Skills)
• Authorization Research (Hard Skills)
• Order Accuracy (Hard Skills)
• Report Retrieval (Hard Skills)
• Computer Proficiency (Hard Skills)
• Effective Communication (Soft Skills)

Job Summary: 

• Review patients’ cases and insurance coverage information.
• Choose the correct insurance codes for each patient's insurance.
• Acquire and verify all patients' demographic information.
• Establish contact with provider offices to resolve issues.
• Ensure timely processing of benefit information.
• Responsible for acquiring billing information.
• Contact clinical staff for patients' clinical information from the insurance provider to process the claim.
• Adhere to and uphold all regulations regarding patient privacy.

Skills on Resume: 

• Case Review (Hard Skills)
• Insurance Coding (Hard Skills)
• Demographic Verification (Hard Skills)
• Provider Communication (Soft Skills)
• Benefit Processing (Hard Skills)
• Billing Information (Hard Skills)
• Clinical Information Requests (Soft Skills)
• Privacy Compliance (Hard Skills)