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Intake Insurance Specialist

2 months ago

Moline, United States UnityPoint Health Full time
Overview

Intake Insurance Specialist

Part Time

Clinic Hours between 7:00am - 6:00pm (No Weekends)

Moline, IL

Function as a member of the interdisciplinary team.  Primary job functions are assuring accurate and timely reception, scheduling, charge and data entry, report preparation, filing and record keeping and other duties. In addition, collects co-pays/co-insurances, verifies benefits, receives and performs calls to patients and provider offices—all while communicating with the team leaders (business coordinator/denial management specialist, manager, and lead) and therapists to provide great experience and customer service.

Responsibilities

Administrative/Clerical Duties:

  • Takes fax orders from referring sources for new patient, schedules new evaluations and future appointments, schedule/reschedule patients via phone calls and/or therapists’ direction as required.   
  • Keeps accurate, up-to-date files of all referrals received in the department.  Pre-registers for all disciplines before first appointment preparing chart. 
  • Copy and mail/fax initial evaluations and progress/discharge notes, when signed by therapist, to appropriate physicians. 
  • Performs reception functions and assures that the telephones are answered and patients/visitors are greeted in a timely, courteous and professional manner. 
  • Performs registration functions and assures timely, efficient and customer-friendly registration system.  Has to be able to evaluate each registration/admission and be alerted to potential problems, including pre-certification or financial assistance for the patient. 
  • Processes insurance eligibility and benefits verification for all outpatient rehabilitation patients. 
  • Processes insurance pre-authorizations for all outpatient rehabilitation patients. 
  • Accurately records authorization specifics into EPIC and monitors frequency limitations of benefit. 
  • Assists in resolving account denials routed to specific Work Queue lists within EPIC.   
  • Keeps prior authorization Work Queue list up-to-date and follows-up on aging requests. 
  • Works with therapists to resolve pre-billing edits to ensure timely filing and clean-claim requirements 
  • Provides great customer service in a busy, multitasking, fast paced environment 
Qualifications

Education, Training, & Experience:

High School diploma or GED.   

Knowledge, Skills, & Abilities: 

Ability to take initiative, appropriate independent judgement, exercise accountability, adaptability, flexibility, and collaboration.  

Why UnityPoint Health? 

  • Commitment to our Team – For the third consecutive year, we're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment to our team members. 
  • Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve. 
  • Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. 
  • Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation. 
  • Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience. 
  • Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.