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Patient Services Representative II duties may include but are not limited to Core Functions: Patient Scheduling, Insurance verification, Charge Entry, Data Entry, Insurance Follow-Up, Self-Pay Follow-Up/Collections, Refund Management, Response to Patient Account Inquiries, Customer Service Advocacy, Self-Pay Collections.
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The ideal candidate will have a strong understanding of insurance verification processes, pre-authorization requirements, and medical terminology. Strong knowledge of medical terminology, insurance verification processes, pre-determinations and pre-authorization requirements.
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Insurance Pre-Certification & Collection Accurately completes or assures completion of registration process and facilitates revenue enhancement through insurance verification, pre-authorization, verification of medical necessity and follow up of denials.
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Refers appropriate patients to the cochlear implant teamSubmits correct codes to pre access for accurate insurance verification. Makes appropriate recommendations for amplification, therapy, referral, follow up testing, educational adaptations, and home care for patients with hearing loss and for those at risk for hearing loss Treatment Seeks advice from other audiologists when treating patients with complex hearing loss, and syndromes as neededSelects, fits and checks hearing aids based on department guidelines.
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Expertly completes all tasks related to order control, insurance verification, financial assistance and pre-certification processes in accordance with organization standards and State / Federal government regulations.
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Previous experience and knowledge of Community Health Center or Hospital patient registration systems, insurance eligibility verification systems (i.e. MMIS, WebMD, Trizetto, NEHEN). Must meet or exceed call volume, pre-registration and insurance verification productivity and accuracy expectations.
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Proficiency in using electronic health records (EHR) systems and insurance verification software. Conduct thorough insurance verification and eligibility checks for patients scheduled for procedures at out-of-network surgical practices.
$19 - $23 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Keywords: Certified Pharmacy Technician, Certified pharmacy tech, pharmacy tech, pharm tech, CphT, pharmacy, closed-door pharmacy, order entry, Medicaid, Medicare, calculations, point-of-sale, claims, packing medications, dispensing, delivery, labels, counts, inventory, stocking, supply, insurance verification, answering phones, drugs, emulsions, liquids, powders, ointments, non-sterile, sterile, compounding, mail-order.
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Responsible for Patient Scheduling, Pre-Registration, Registration, Insurance Verification, Insurance Authorization, and ensures patients have been cleared for Rehab Outpatient office visits.
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s.
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The Insurance Verification Specialist will work primarily with the Patient Financial Services department and be responsible for data entry, insurance verification and account follow-up.
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Contacts insurance companies to verify insurance benefits; initiates pre-authorization requests for new and ongoing services with insurance companies and performs follow up activities for an outcome.
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Essential Duties and ResponsibilitiesAs assigned, but not limited to the following:Develops and implements, with the Practice Administrator, procedures for all aspects of the billing process including charge entry, day end balancing, claims submission and edit, insurance follow up, patient balance follow up, denials, transfers to patient balance, cash collection, collection accounts, adjustments and write-offs.
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Verify patient eligibility and prior authorization requirements through On-line verification software or by telephone and follow up with third party payers within 0-48 hours of request. Contact insurance companies for pre-certification, at least seven days prior to the patient's scheduled procedure.
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