Contacts insurance carriers to verify patient’s insurance eligibility, benefits andrequirements.
Requests, track and obtain pre-authorization from insurance carriers within time allotted for medical needs and services.
Requests, follow up and secure prior-authorizations prior to services being performed.
Demonstrates and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
ESSENTIAL FUNCTIONS :
- Contacts insurance carriers to verify patient’s insurance eligibility, benefits andrequirements.
- Requests, track and obtain pre-authorization from insurance carriers within time allotted for medical needs and services.
- Requests, follow up and secure prior-authorizations prior to services being performed.
- Demonstrates and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
- Communicates any insurance changes or trends among team.
- Maintains a level of productivity suitable for Imaging Services.
- Clearly documents all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.
- Admits patients; effectively explains the admission paper work and obtains all necessary signatures.Updates patient demographic information as needed.
- Aids customers who visit and / or phone the department by scheduling appointments, providing appropriate information, etc.
- Verifies that we have order for exam and correct insurance information.
- Prepares and completes discharge paperwork.
- Maintains a complete and accurate medical record for the service line.
- Performs clerical support functions and monitors schedules for departments, physicians and staff.
- Monitors office for efficiency, appropriate supplies, materials, equipment, etc.
- Abides by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).
- Serves a population age seventeen through geriatric.
- Update patients / family members on exam wait times.
- Attend and complete all mandatory meetings and in-services, as well as assigned continuing education
MINIMUM KNOWLEDGE AND SKILLS REQUIRED :
- Working knowledge of various computer programs (Word, Excel).
- Working knowledge of office equipment, i.e. copier, fax machine, etc.
- Medical terminology.
- Demonstrated ability to communicate effectively.
PREFERRED KNOWLEDGE AND SKILLS :
Working knowledge of Electronic Medical Record (EMR).
REQUIRED BEHAVIORAL SKILLS :
- INTEGRITY :
- A personal presence which is characterized by a sense of honesty and the willingness to do the right thing.
- The ability to role model, inspire and motivate others to promote the philosophy, mission, vision, goals and values of Hutchinson Regional Healthcare System.
- COMPASSION :
- A personal presence which is characterized by a sense of caring that is reflected in a high level of empathy and customer service with all that we come in contact.
- Ability to manage conflict, consider other points of view, and offer alternative solutions without jeopardizing overall project direction and the ability to manage customer expectations
- ACCOUNTABILITY :
- Demonstrated track record of ownership of situations, projects and issues.
- Able to work autonomously and have a high degree of flexibility to adapt to changing projects, priorities and work volumes.
- RESPECT :
- Demonstrated ability to collaborate with a diverse population.
- Treat all internal and external customers with a positive, proactive service orientation.
- EXCELLENCE :
- Strong communication and presentation skills with a proven ability to influence and lead teams to conclusion / decision making.
- Proven ability to think strategically but also must be able to lead day-to-day tactical processes.
- Demonstrated ability to manage and provide coaching and leadership on complex projects.
- Must be able to lead and / or facilitate process improvement.
MINIMUM EDUCATION AND EXPERIENCE REQUIRED :
Several years medical office experience.
PREFERRED EDUCATION AND EXPERIENCE :
N / A
LICENSURE OR CERTIFICATIONS REQUIRED :
Healthcare Provider BLS through AHA or ARC before start date.
PREFERRED LICENSURE OR REGISTRATION :
N / A
We offer competitive pay, a generous benefit package and a reason to be proud of what you do, every day.
Last updated : 2024-04-05