INS AUTHORIZATION/BENEFITS COORD at Novant Health UVA Health System Culpeper Medical Center - Kevin – Culpeper, Virginia
Novant Health UVA Health System Culpeper Medical Center - Kevin
Culpeper, Virginia, 22701, United States
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About This Position
INS AUTHORIZATION/BENEFITS COORD
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POSITION OVERVIEW
- Coordinates insurance verification eligibility, pre-registrations, and authorizations for hospital services.
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The following is a summary of the major essential functions of the job. The incumbent may perform other duties, both major and minor, that are not mentioned below; and specific functions may change from time to time:
- Following established policies and procedures, verifies eligibility for patients and ensures all pre-authorizations, referrals, and pre-certifications are obtained as necessary by working closely with the physician offices, Utilization Review and Business Office Departments.
- Works closely with the collections department in identifying self-pay patients as well as repeated bad debtors and notifying Financial Counseling.
- Estimates patient financial liability for scheduled services and completes Financial Liability Worksheet as appropriate.
- Works closely with Utilization Review regarding insured patients to identify insurance coverage and limits. Assists uninsured patients pursuing financial assistance options.
- Coordinates appeals denied for no pre-authorization, assisting the patient, physician office and the insurance company.
- Assists Registrars when backlogged with patients in registration as necessary.
- Acts as back up to Schedulers.
- Perform other job-related duties as directed by the Supervisor.
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EXEMPTION STATUS
- Non-exempt
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REQUIREMENTS
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Education:
- High School Diploma or GED preferred.
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Experience:
- Minimum two years related experience in admitting or business office.
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Knowledge, skills and abilities required:
- Knowledge of basic medical terminology and ability to pass related basic spelling test.
- Ability to communicate both verbally and in writing.
- Ability to type 30 words per minute.
- Background of insurance knowledge is mandatory.
- Background/knowledge of government/state and patient assistance programs.
- Working knowledge of ICD-9 and CPT coding.
- Ability to comprehend insurance cards
- Ability to deal directly with the public.
- Strong computer skills. Proficiency in Windows and Microsoft Office preferred.
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Education:
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Job Location
Culpeper, Virginia, 22701, United States
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