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The FSS is responsible for pre-registration, insurance verification, communicating and helping secure the patient and insurance financial responsibilities prior to services.
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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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The Pre-Registration/Insurance Verification office is located on the main level of the hospital behind Outpatient Registration. The Registration Department has three areas which are Emergency Department Registration, Outpatient Registration and Pre-registration/Insurance Verification.
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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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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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1 year of patient registration and insurance verification experience in a health care setting, required; 2 years preferred. Emerus’ distinctive level of care earned the Guardian of Excellence Award for Superior Patient Experience in six of the past seven years.
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3 years patient registration and insurance verification experience in a health care setting, required. Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system.
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Emergency Department registration experience, strongly preferred. Scan all registration and clinical documentation into the system and maintain all medical records. Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
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Responsibilities:Complete full financial clearance of upcoming scheduled visits (insurance verification, pre-registration and authorization) Will submit authorization request, including applicable clinicals, to payer authorizing also be responsible for follow up with payer to receive a determination on authorization, escalating as necessary to ensure pre- service approval.
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Responsible for verification of patient eligibility, the pre-certification of services as required, ensuring coverages are updated, validating authorizations already on file, and providing price estimates upon request.
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The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff.
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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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From the moment a patient walks through the door, a team of exceptional medical professionals takes charge, treating patients with speed, compassion and expertise. Obtain insurance authorizations as required by individual insurance plans where applicable.
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The DME Prior Authorization Specialist is responsible for completing the pre-registration, registration, eligibility verification, verification of benefits and pre-certification/documentation processes which involves communicating with patients, 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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Verify insurance benefits and determine pre-certification/authorization status via online or other resources. Verify all insurance and obtain pre-certification/authorization.
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pre registration insurance verification patient experience jobs Company: Tanner Medical Center
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