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INS AUTHORIZATION/BENEFITS COORD

POSITION OVERVIEW
- Coordinates insurance verification eligibility, pre-registrations, and authorizations for hospital services.
- 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.
EXEMPTION STATUS
- Non-exempt
REQUIREMENTS
- Education:
  - High School Diploma or GED preferred.
- Experience:
  - Minimum two years related experience in admitting or business office.
- 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.

INS AUTHORIZATION/BENEFITS COORD

Entry Level Training Associate - Work From Home

INS AUTHORIZATION/BENEFITS COORD in Culpeper, Virginia at Novant Health UVA Health System Culpeper Medical Center - Kevin

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