Insurance Authorization Specialist- Pre registration- 40 Hours- 8:30am to 5pm Mon - Firday
This position is covered by the SEIU Collective Bargaining Agreement
Able to (pre)register all patient types.
Work closely with QM supervisor to ensure 100% eligibility verification is performed on all registrations.
Print and work all necessary reports needed for eligibility verification such as NEHEN batch reports, no show report, subscriber missing info report, pre/sch accounts with changes report, comother report, and additional payor report.
Access, update and maintain all billing notes ensuring proper communication between registration and patient accounts.
Research and navigate Meditech system in order to locate and correct appropriate missing insurance information ensuring proper verification.
Communicate positively and effectively with medical records, patient accounts, financial counselors, and information systems and other departments regarding discrepancies or revisions to patient specific information.
Work with QM supervisor to develop insurance verification procedures to enhance verification process.
Recognize insurances requiring telephone calls for eligibility verification along with making the necessary phone calls to ensure 100% compliance for verification.
Identify incorrect registrations and make necessary corrections.
Access all insurance verification tools such as NEHEN Integrated, NEHEN Lite, WEBMD and POS devices.
Communicate and give positive and constructive feedback to off-site registration areas such as the Lab and Breast Care Center.
Print and work rejection database in the absence of QM supervisor.
Work independent of QM supervisor setting up priorities and work flow.
Qualifications: Strong knowledge of health insurance and reimbursement. High school graduate. Associates degree preferred. Medical billing certification preferred. Medical billing experience preferred. Proficiency in Excel and Word. 2-5 years strong experience in customer service and data entry.