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This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Job Responsibility:
Receives incoming calls from patients as well as business office team members to perform coverage updates
Updates information in the Electronic Health Record(s) (EHR) to ensure coverage is verified and accurate
Ensures appropriate steps are taken to initiate claims on affected transactions
Performs updates based on Visit Filing Order changes daily, ensuring claims are sent to the correct primary and/or secondary payor
Reviews electronic eligibility transactions returned for patients with upcoming services, as well as for services that have already been billed to the patient, performing the necessary updates to coverage as needed to ensure accuracy of coverage information
Sends and receives Customer Relationship Management requests (CRM) to communicate with other team members in the business office regarding patient-initiated insurance concerns
Follows up on patient-initiated insurance changes through the EHR Patient Portal and makes updates as necessary
Performs guarantor account updates based on patient-initiated requests, ensuring the appropriate guarantor type is being used based on billing requirements
Updates hospital account records (HARs) and visits to ensure Smart Chart identified data discrepancies are corrected
Works other EHR workqueues related to patient demographic, guarantor, and coverage information as needed
Requirements:
High School Graduate
Typically requires 2 years of experience in health care, with focus on registration, insurance, and billing
Knowledge and understanding of Revenue Cycle-specific insurance and billing procedures preferred
Previous data entry experience and demonstrated proficiency with emphasis on speed with accuracy
Good organizational ability as well as solid written and verbal communication skills
A basic understanding of EHRs, with the ability to gain deeper knowledge
Knowledge of Medicare, Medicaid and third-party payors
Knowledge of medical terminology
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs