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Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit Summary:Patient Access Insurance Verification Specialist is responsible for ensuring that patient health care covers required procedures.
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Req Strong insurance verification and pre-registration background. In addition, the Medical Assistant III will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling surgeries/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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Processes administrative and financial components of financial clearance including, validation of insurance/benefits, medical necessity validation, routine and complex pre-certification, prior-authorization, scheduling/pre-registration, patient benefit and cost estimates, as well as pre-collection of out of pocket cost share and financial assistance referrals.
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The Business Office Manager is responsible overall for the Patient Financial Services areas of: Patient Access, Scheduling, Insurance Verification, Pre-Registration, Financial Counseling, Billing, Collections, Cash Posting and Adjustments necessary to finalize medical accounts.
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The Insurance Verification Specialist will be responsible for delivering a dynamic customer experience to all customers and demonstrate a strong commitment to service excellence. Minimum of 1 year of specialized training in a health care setting with demonstrated knowledge of insurance verification and working knowledge of authorization and pre-certification process preferred.
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JOB REQUIREMENTSRequired: High school diploma or GED3 years’ experience in financial advising, claims processing, collections, customer service, revenue cycle positions that including: admitting, patient accounting, prior authorizations, or pre-registration.
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Receives and processes reservations from physicians and/or representatives for all services; secures required patient information, including applicable physicians, medical necessity/diagnosis, insurance, pre-certification/referral information and third party payer requirements; coordinates the scheduling of tests and/or bed assignments in various departments as needed.
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Documents internal workflow and processes regarding front end revenue cycle including scheduling, pre-services, insurance verification, and registration. This position must possess extensive knowledge of front-end revenue cycle systems, functions, policies and procedures, including experience with various revenue cycle operations including scheduling, pre-registration, financial counseling, and admissions.
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The Registration Specialist interviews patients and/or the patient's representative to obtain complete and accurate demographic, financial, and insurance information required for billing and collecting patient accounts.
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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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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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Role Summary: This position is responsible for accurately performing the Schedule+® functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility.
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Alerts on pending appointments at the time of patient arrival, to minimally include Missing Referral Missing Pre-certification/Authorization Self Pay Accounts Eligibility Verification Missing Demographic/Insurance Information Medstar and/or Georgetown University Hospital specific requirements.
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Stays updated with all point of service, pre-registration, registration, detail charge entry, insurance verification, authorizations for outpatient appointments or other services as appropriate to the staffing needs per location, and scheduling needs of the department.
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Collaborates with the leadership to monitor and improve key performance indicators related to appointment scheduling, patient pre-registration/ registration, insurance verification, referral management/pre-authorization, co-pay collection, charge entry/capture activities, and accounts receivable; recommends and implements approved changes.
$147,220 a yearFull-timeExpandApply NowActive JobUpdated Today
pre registration insurance verification patient experience jobs
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