Posted in Other 5 days ago.
the direction of the Financial Coordinator Supervisor, ensures that all information necessary for proper
financial reimbursement for high dollar patient care is analyzed and submitted
to insurance companies for approval prior to the patient's date of service. Collaborates
with insurance companies and physician offices when necessary to verify
eligibility and authorization requirements to ensure financial reimbursement
all insurance verification for eligibility, coverage, and authorization
requirements via Web or phone with third party payers.
Contacts providers and
insurance companies to validate data, collect missing information and resolve
information discrepancies, -Understands clinical guidelines for payors
requiring authorization to better build cases for authorization requests and
provide feedback to clinical departments on required notes.
closely with physician offices obtaining authorization for inpatient and
collaboratively with Case Management for all patients' financial issues and
school graduate or equivalent; some college preferred
1-2 years of insurance, third party payor or secretarial
experience in a health care setting required
ability to gather and interpret data and communicate desired outcomes orally
and in writing in a professional manner
communication and interpersonal skills
to handle multiple duties
Hospital will provide equal employment opportunities to all applicants and
employees without regard to race, color, religion, gender age, national origin,
disability, marital status, genetic information, veteran or active military
status, gender identity or expression, or sexual orientation.