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Conducts Pre-Registration tasks for specified inpatients and outpatients prior to their date of service including: collects demographic, financial, and clinical information necessary for financial clearance of scheduled patients; obtains missing insurance information via patient’s family or physician offices; and completes insurance verification using online electronic verification system or contacting payor directly.
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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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1-year experience performing billing, patient registration, and scheduling, medical insurance verification, insurance screening. Notify parents of the need for completed insurance referral form or pre-authorization prior to scheduled/unscheduled appointments.
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3 years experience performing billing, patient registration, scheduling, medical insurance verification, insurance screening. Verify insurance information is complete prior to procedure and collect and verify pre-authorization/referral information: Goal is to obtain authorizations 5 days in advance of service; Interface with insurance companies as needed; Document activity in "account notes" following standards set by department.
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Obtain copy of insurance card and photo ID to be stored in medical record (copy or scan activity required). Discuss co-payment, deposits, payment in full, or past due balance collections with parents prior to scheduled appointment in a professional & courteous manner.
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Conducts phone interview and completes pre-certification and insurance verification process prior to the patient's scheduled arrival. Resolves any insurance verification and financial clearance issue prior to or during hospital service; this involves contacting insurance/third party payers to resolve eligibility and benefits issues and to initiate insurance appeals if necessary.
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Job Description General Summary: Under general supervision, responsible for processing the patient, insurance and financial clearance aspects for both scheduled and non-scheduled appointments, including, validation of insurance and benefits, routine and complex pre-certification, prior authorizations, and scheduling/pre-registration.
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Complete full financial clearance of upcoming scheduled visits (insurance verification, pre-registration and authorization) Will submit authorization request, including applicable clinicals, to payer authorizing services.
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Examples of documents: insurance cards, financial agreements, ER charge sheets, verification sheets, pre-certification letters and physician orders. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission.
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The Referral and Authorization Coordinator is responsible for completing the pre-registration, registration, eligibility verification, verification of benefits and pre-certification/documentation processes which involves communicating with patients, primary care physician offices and insurance companies to ensure that all appropriate demographic and reimbursement information is accurate to prior to the patient's scheduled appointment.
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Performs timely insurance verification/eligibility processes utilizing the practice management system, automated electronic eligibility functionality, various reports, and third-party payer websites and customer service telephone contacts related to ordered/scheduled therapeutic procedures, medications, surgeries and diagnostic testing.
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These functions are to include (but not limited to): Medical Records, Credentialing, Admissions/Intake, Accounts Payable, Billing, Collections, Insurance Verification, Transaction, Posting, Clinical Logs and other duties as assigned.
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All insurance verification and patient calls are clearly documented in the patient’s account. Does pre-registration and makes sure that authorization is obtained from the physician’s office prior to surgery scheduled.
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Schedules surgeries in surgery template in the computer, along with pertinent information and handles calls from physician’s office in regard to information on scheduling patients at the surgery center, scheduling surgeries or any calls associated with surgery scheduled.
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Talroo-Allied Health, insurance verification, pre-certification, schedulingJob SummaryPerforms insurance verification for all scheduled patient services and obtains required pre-certifications in a multi-disciplinary environment.
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insurance verification scheduled jobs
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