Patient Access and Insurance Coordinator

6 days ago


Valhalla, United States Westchester Medical Center Full time
Job Summary:

The Insurance Verification Team Lead is responsible for overseeing the financial clearance process at Westchester Medical Center, ensuring that patients receiving services are financially cleared in a timely and accurate manner. This individual is responsible for obtaining authorizations for hospital services, communicating with patients and families regarding financial responsibility, and performing other tasks as assigned by Patient Access leadership.

Responsibilities:
  • Manage the day-to-day operations of the verification department, verifying various types of insurance benefits and securing authorizations for inpatient and outpatient services.
  • Prepare written estimates for patients, calculating estimated patient responsibility based on scheduled procedures and insurance allowable.
  • Coordinate and communicate with departments to ensure patient satisfaction and secure accounts prior to arrival.
  • Document information timely and accurately, reviewing eligibility discrepancies and ensuring admission notification has been completed.
  • Maintain current knowledge of regulatory compliance regulations and third-party insurance plans.
  • Follow department standards and perform work according to directions, reviewing reporting to identify missed authorizations.
  • Develop and maintain a close working relationship with team members, point of service registrars, and departmental staff.
  • Communicate with customers in a helpful and courteous manner, extending exemplary customer service.
Qualifications/Requirements:

A minimum of one year of experience in patient access/insurance verification is preferred. A high school graduate or equivalent is required. Knowledge of HDX, Cerner Millennium, and Invision is preferred.



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