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Insurance Authorization/Verification Clerk/Registrar
3 months ago
Located in Wichita, KS, Kansas Spine & Specialty Hospital (KSSH) is a regional center for the diagnosis and treatment of disorders of the spine, neck and joint. Dedicated to improving the quality of life of our patients, Kansas Spine practices a team approach, providing patients with access to a specialized team of surgeons, anesthesiologists, neuroradiologists, internal medicine physicians and nurses.
OverviewVerifies insurance coverage and determines patient's financial responsibility. Reviews and confirms insurance authorization for all services as required. Determines patient qualifications for coverage. Completes pre-registration calls to patients verifying insurance and demographics. Admits and registers patients to the Hospital. Ensures excellent patient service, for patients and families, physicians and staff, and visitors to the Kansas Spine & Specialty Hospital. Upholds the mission statement and expectations of the facility. Monday - Friday 8:30-5:00pm.
Key Responsibilities:- Verifies current eligibility for patient's date of service for all insurances to include worker's compensation, accident insurance and state programs. Verifies patient's specific benefits to include patient's remaining deductible and out-of-pocket to determine patient's financial responsibility, as applicable.
- Confirms insurance authorization for services by obtaining precertification information from physician's office, verifies procedure, status and date of service accurately with insurance (on line, etc.) prior to date of service, as applicable.
- Reviews Out-Of-Network Insurance Plans for In-Network vs. Out-Of-Network benefits and provides calculation of estimated charges, cost and payment to Patient Accounts Manager and/or CFO to make a financial determination for approval to perform service.
- Documents and scans insurance eligibility and authorization prequalification for all payer's before date of scheduled admission.
- Performs admission of patients by completing all fields as required in an accurate and timely manner.
- Verifies physician orders, patient information, insurance information and obtains any additional needed information at the time of admission.
- Cross-trains (as needed) to proficiency in Reception, Registration and Patient Accounts. Fills in as needed for breaks, illness and vacations or coverage of shifts.
- High School diploma or equivalent.
- Minimum one-year previous experience with insurance authorization, verification, admissions and reception duties required.
- Additional training or courses in business office activities preferred.
- Demonstrated ability to work independently, prioritizing and managing multiple tasks efficiently.
- Computer skills, basic office skills, accurate typing and knowledge of medical terminology required.
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