This position is responsible for financial clearance of the patient account which includes initiating insurance verification, notification, pre-certification, authorization and obtaining reference numbers (as appropriate) for all Inpatient, Observation and Outpatient Services. Counsels the patient regarding their financial obligation, insurance benefits and appropriately communicate the patient liability. Acts as a liaison for the patient, physician office, care management team, community agencies and the Revenue Service Center.
The information above is for summary purposes and is not intended to be a comprehensive list of essential functions.
|Minimum Required||Preferred (Optional)|
|Education||High School Diploma or Equivalent|
|Experience||More than 1 year and less than 3 years||More than 3 years and less than 5 years|
|Additional Detail||Two or more years in a hospital medical office or insurance experience.||Three or more years collection experience|
|Licensure, Certification |
|CHAA (Certified Health Access Associate)|
|Other: Knowledge, |
Skills and Abilities
|Knowledge of state Medicaid/Medicare programs |
Knowledge of payment assistance/charity programs
Knowledge of payer requirements for authorization and billing
Knowledge of ICD-9, ICD-10 and CPT coding
Effective interpersonal and communication skills, including written, verbal and email etiquette.
Proven customer service/problem solving skills.
Proficient computer skills with MS Office products, including Outlook, Word and Excel.
Knowledge of HIPAA regulations
|General knowledge of hospital billing preferred|
Medical Terminology preferred
Other combinations of formal education, training and experience may be considered.