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Knowledge of scheduling templates, insurance verification, hospital billing practices and HIPAA regulations. Maintains statistics and generates reports for managers and others to identify new patient needs, trends, referral patterns, access barriers and to track outcomes related to the Support Coordinator role to ensure continuous improvements to service and access.
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Performs job related functions including, but not limited to, facility based scheduling, bed planning, pre-registration, registration, insurance verification, pre-certification, point of service cash collection and financial clearance under the direction of the Supervisor/Manager/Director for these designated areas.
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Bartlett Regional Hospital is searching for a Insurance Verification Specialist to join our Patient Access Services team! Specifically this position is responsible for verification of all patients insurance for specific patient types (IN, INO, SDS) and determine if pre-authorization is required for their encounter.
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Responsible for the patient registration (pre-reg and post-reg needs) including all of the following: demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider, diagnosis, insurance and guarantor verification, real time insurance eligibility, point of service cash collections.
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Secures medical necessity checks/verification in accordance with Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors.
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Information obtained through insurance verification must always be documented in the system. Assigns appropriate insurance plan from the third party database; ensures insurance priorities are correct based on third-party requirements/ COB. Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained.
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NurseCore provides benefits including health insurance and immediate employment and income verification through Equifax. That’s why we are happy to offer you competitive pay, benefits , a mobile app for timesheets, and access to our elite 24/7 caregiver support staff.
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Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, insurance and much more.
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This is a front desk position consisting of registration, checking in/out patients, collecting payments, insurance verification, scheduling, referrals and prior authorizations. Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers.
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Perform insurance verification and prior authorization for patients prior to patient’s schedule appointment or procedure. The primary purpose of the patient access specialist is to schedule and register patients by accurately collecting and analyzing all patients’ demographic, third party coverage (i.e., insurance), and clinical data elements.
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This may include scheduling, registration, benefit verification, pre-certification and financial clearance including pre-visit collection. The Patient Access Representative is often the first point of contact for our patients and therefore must represent Mercy with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and Mercy service standards.
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Coordinates and organizes collection and verification of insurance/financial information for patients prior to appointment or during the check in process. Four (4) years of patient financial services, patient access, or registration experience.
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1 year of patient registration and insurance verification experience in a health care setting, required; 2 years preferred. Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
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Patient Access Representative I communicates/coordinates with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services.
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Authorization Coordinator collaborates with Insurance verification, insurance CM, Hospital Case Manager UR/transition Planner and physicians to facilitate obtaining authorizations.
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access insurance verification jobs
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