Clinic Pat Fin Counsel Precert
1 month ago
Talent Pool: Corporate Services/Professional
Assists insurance carriers of pre-certification issues (i.e. clinical documentation, insurance information, and patient demographics). Obtains benefit information on each outpatient/inpatient procedure (via online access to the internet as well as phoning the carriers that are not web-based).
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Assures timely response to Third Party payers requests for additional information.
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Contacts patients regarding their benefits and/or co-pays and coverage information for all outpatient procedures.
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If the patient does not qualify for any sponsorship programs, the position will determine patient payment responsibility utilizing Cone•s Charity Care Policy.
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Obtains pre-certification for admissions and outpatient procedures. Researches and resolves pre-certification denials.
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Relays all medical questions to appropriate clinical staff and documents legibly.
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Responsible for initial and follow-up contact for all patients scheduled without sponsorship. Screen and counsel patients and/or their family regarding financial eligibility for possible assistance from carious sponsoring federal, state, and county funded programs that provide reimbursement for medical expenses.
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EDUCATION:High School Diploma or equivalent, Required
EXPERIENCE:2 years, Required
2 years medical office experience or Medical Office Management/Coding advanced education required.
2 years Medical Manager experience/training required.
Extensive knowledge of ICD-9 & CPT-Coding required.
LICENSURE/CERTIFICATION/REGISTRY/LISTING:REQUIRED
PREFERRED
BCLS certification preferred
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