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Posted: Tuesday, June 27, 2017 6:08 AM

GENERAL SUMMARY OF DUTIES:
• Responsible for timely and accurate pre-registration and insurance verification. Accurately interprets managed care contracts.

DUTIES INCLUDE BUT ARE NOT LIMITED TO:
• Perform pre-registration and insurance verification within 24 hours of receipt of reservation/notification for both inpatient and outpatient services
• Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information therein
• Contact physician to resolve issues regarding prior authorization or referral forms
• Assign Iplans accurately
• Perform electronic eligibility confirmation when applicable and document results
• Research Patient Visit History to ensure compliance with payor specific payment window rules
• Complete Medicare Secondary Payor Questionnaire as applicable for retention in Abstracting module
• Calculate patient cost share and be prepared to collect via phone or make payment arrangement
• Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment
• Receive and record payments from patient for services scheduled.
• Utilize appropriate communication system to facilitate communication with hospital gatekeeper
• Perform insurance verification and pre-certification follow up for prior day's walk in admissions/registrations and account status changes by assigned facility\
• Communicates with hospital based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues
• Utilize Meditech account notes and Collections System account notes as appropriate to cut and paste benefit and pre-authorization information and to document key information
• Meets/exceeds performance expectations and completes work within the required time frames
• Implements and follows system downtime procedures when necessary
• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
• Other duties as assigned

Click here for more info: https://hca.taleo.net/careersection/0hca/jobdetail.ftl?job=08947-134824&lang=en


• Location: Ocala

• Post ID: 16147533 ocala
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