Patient Coverage Specialist
1 day ago
We are seeking a highly organized and detail-oriented Patient Coverage Representative to join our team at Advocate Health. In this role, you will be responsible for ensuring accurate and up-to-date patient coverage information in our Electronic Health Record (EHR) system.
Key Responsibilities- Receive and respond to incoming calls from patients and business office team members to update coverage information.
- Verify and update patient coverage information in the EHR system to ensure accuracy and compliance.
- Initiate claims and perform updates based on Visit Filing Order changes daily.
- Review and update electronic eligibility transactions for patients with upcoming services and services that have already been billed.
- Communicate with other team members through Customer Relationship Management (CRM) requests.
- Follow up on patient-initiated insurance changes through the EHR Patient Portal.
- Perform guarantor account updates based on patient requests.
- Update hospital account records (HARs) and visits to ensure data discrepancies are corrected.
- High School Graduate.
- Typically requires 2 years of experience in healthcare, with a focus on registration, insurance, and billing.
- Knowledge and understanding of Revenue Cycle-specific insurance and billing procedures preferred.
- Previous data entry experience and demonstrated proficiency with emphasis on speed and accuracy.
- Good organizational ability and solid written and verbal communication skills.
- A basic understanding of EHRs, with the ability to gain deeper knowledge.
- Knowledge of Medicare, Medicaid, and third-party payors.
- Knowledge of medical terminology.
This is a standard office environment with minimal physical demands. The ideal candidate will be able to sit for most of the workday and occasionally lift up to 10 pounds.
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