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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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Summary: The Insurance Verification Specialist requires specific knowledge of health insurance plans, interpretation of benefits, and prior authorization protocol. Insurance Verification Specialist.
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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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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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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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Verify insurance eligibility, benefits, and pre-authorization/pre-certification via telephone and internet. We are looking for a full-time Insurance Verification Specialist to join our top notch team of professionals.
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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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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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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/Greeter will be an integral part of the Suvida Healthcare team. The Insurance Verification Specialist (Greeter) will provide exceptional customer service and ensure all who visit Suvida Healthcare centers are welcomed and properly attended to.
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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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If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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Understand/explain policies regarding services, pricing, insurance billing, and payment of account. You will also interview patients for all pertinent account information and verify insurance coverage.
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Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and demographical information with insurance and financial information. Secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties.
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The Insurance Verification Specialist (Greeter) will work with the center team by answering questions, managing incoming and outgoing calls, ensuring all benefits are verified, and assisting with other clinical clerical tasks.
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pre insurance verification jobs Company: University Of Maryland Medical Center Baltimore Washington
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