Payer Customer Analyst II in Corvallis, Oregon at Samaritan Health Services
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Job Description
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JOB SUMMARY/PURPOSE
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Secures payment by working closely with Payer and customer, ensuring authorization, notification, and point of service collection requirements are completed in a timely manner. Interacts with insurance companies, departments and service areas, physicians, utilization review, and customers to guarantee the accuracy and completeness of each account to maximize reimbursement. Serves as a resource for staff as needed.
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DEPARTMENT DESCRIPTION
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The Financial Clearance department is responsible for Insurance Verification and Preadmissions. Financial Clearance functions include insurance verification, authorization, collection and documentation of patient demographics, benefit analysis, estimates, financial counseling, and pre-service collections.
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EXPERIENCE/EDUCATION/QUALIFICATIONS
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High school diploma or equivalent required.
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Two (2) years collections, finance/accounting, medical billing or patient registration experience required.
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One (1) year experience equivalent to a SHS Payer Customer Analyst I role required.
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Experience or training in computer applications required.
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Experience or training in medical terminology, insurance authorization, reimbursement requirements and CPT/ICD-9 coding preferred.
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KNOWLEDGE/SKILLS/ABILITIES
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Confidentiality: Knowledge of the importance of confidentiality.
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Communication: Communicate information verbally and in writing so others will understand.
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Customer Service: Ability to communicate to people internal and external to the organization and to represent the organization to customers, the public and external sources.
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Problem Solving: Ability to identify problems and review related information using logic and reasoning to evaluate options and implement solutions.
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Team Building: Ability to work as part of a team or on your own.
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PHYSICAL DEMANDS
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Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)WALK - INCLINE
CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 20 - 40 Lbs
LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
CARRY 2-handed, 0 - 20 pounds
SQUAT Static (hold >30 sec)
SQUAT Repetitive
KNEEL (on knees)
PUSH (0-20 pounds force)
PULL (0-20 pounds force)
STAND
WALK - LEVEL SURFACE
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
LIFT (Overhead: 54" and above) 0 - 20 Lbs
BEND FORWARD at waist
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
ROTATE TRUNK Sitting
ROTATE TRUNK Standing
REACH - Forward
REACH - Upward
PINCH Fingers
GRASP Hand/Fist
SIT
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
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