Insurance Verification Rep - Mary Washington Healthcare - Fredericksburg, VA
Insurance Verification Rep - Mary Washington Healthcare - Fredericksburg, VA -
This place is chargeable for insurance authorization and/or verification for sufferers who require providers at Mary Washington Healthcare. The incumbent shall current a constructive departmental and organizational picture, in addition to adhere to MWHC and departmental objectives, aims, insurance policies, requirements and procedures. This place should show a dedication of high quality customer support to sufferers, co-staff, physicians, and most of the people.
Important Features & Duties: Ensures the accuracy and completeness of demographic and insurance info, verifies eligibility/protection and ensures authorization necessities have been met. Critiques info for accuracy and corrects knowledge, when wanted. Obtains the knowledge essential to offer monetary clearance and efficiently secures accounts for elective and pressing providers in a well timed method by using on-line assets, web sites, phone, and so on. Performs all features of the insurance verification course of for Medicare, Medicaid, and business insurance payers to make sure compliance and applicable task for the coordination of advantages which incorporates making certain that standards for protection and reimbursement are met, initiating admission notification based mostly on payer, and so forth. necessities. Obtains authorizations from insurance corporations/doctor workplaces. Certifies that the authorization has not expired, full and correct info is entered into the affected person accounting system, the process scheduled, and the date of service, and facility identify is in line with the authorization. Screens studies in accordance with the insurance verification and authorization processes to make sure well timed notification and insurance verification processing. Processes insurance verifications by way of numerous methods and web sites in a well timed and efficient method. Offers and maintains medical documentation essential for securing insurance authorization. Maintains information and expertise of digital medical report software program. Successfully collaborates with inner Associates and departments to financially safe the encounter. Prepares and communicates affected person waivers/Superior Beneficiary Notifications for encounters that aren’t financially safe to the division or space of duty. Assists with speaking and/or communicates affected person/guarantor monetary duty, co-pay, deductible and/or self-pay deposits. Communicates the standing of a referral, pre-authorization, community advantages, out of community advantages, and affected person waivers. Serves as a useful resource to employees for insurance necessities and applicable plan code task. Communicates audit findings to management in a well timed and constant method. Demonstrates proficiency inside assigned space of duty and a common understanding of the Affected person Entry course of. Communicates operational actions with supervisor/supervisor on a daily and well timed foundation. Identifies and recommends course of enhancements inside the registration and insurance verification processes. Performs different duties as assigned.
Qualifications: Highschool graduate or equal GED. Minimal typing velocity of 30wpm required. Healthcare and registration expertise required. Insurance expertise required. Familiarity with diagnostic and/or surgical procedures in a hospital setting is required. Capability to efficiently clarify advantages particulars and authorization necessities to inner and exterior clients is required. Proficient pc expertise related to the place required. Lotus Notes, Phrase and Excel most popular. Robust verbal and written communication expertise required. Robust customer support and phone expertise required. Should possess the power to interview sufferers in aggravating conditions whereas remaining calm and professional.
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Insurance Verification Rep
Mary Washington Healthcare 62 evaluations – Fredericksburg, VA
Mary Washington Healthcare 62 evaluations – Fredericksburg, VA
Important Features & Duties: Ensures the accuracy and completeness of demographic and insurance info, verifies eligibility/protection and ensures authorization necessities have been met. Critiques info for accuracy and corrects knowledge, when wanted. Obtains the knowledge essential to offer monetary clearance and efficiently secures accounts for elective and pressing providers in a well timed method by using on-line assets, web sites, phone, and so on. Performs all features of the insurance verification course of for Medicare, Medicaid, and business insurance payers to make sure compliance and applicable task for the coordination of advantages which incorporates making certain that standards for protection and reimbursement are met, initiating admission notification based mostly on payer, and so forth. necessities. Obtains authorizations from insurance corporations/doctor workplaces. Certifies that the authorization has not expired, full and correct info is entered into the affected person accounting system, the process scheduled, and the date of service, and facility identify is in line with the authorization. Screens studies in accordance with the insurance verification and authorization processes to make sure well timed notification and insurance verification processing. Processes insurance verifications by way of numerous methods and web sites in a well timed and efficient method. Offers and maintains medical documentation essential for securing insurance authorization. Maintains information and expertise of digital medical report software program. Successfully collaborates with inner Associates and departments to financially safe the encounter. Prepares and communicates affected person waivers/Superior Beneficiary Notifications for encounters that aren’t financially safe to the division or space of duty. Assists with speaking and/or communicates affected person/guarantor monetary duty, co-pay, deductible and/or self-pay deposits. Communicates the standing of a referral, pre-authorization, community advantages, out of community advantages, and affected person waivers. Serves as a useful resource to employees for insurance necessities and applicable plan code task. Communicates audit findings to management in a well timed and constant method. Demonstrates proficiency inside assigned space of duty and a common understanding of the Affected person Entry course of. Communicates operational actions with supervisor/supervisor on a daily and well timed foundation. Identifies and recommends course of enhancements inside the registration and insurance verification processes. Performs different duties as assigned.
Qualifications: Highschool graduate or equal GED. Minimal typing velocity of 30wpm required. Healthcare and registration expertise required. Insurance expertise required. Familiarity with diagnostic and/or surgical procedures in a hospital setting is required. Capability to efficiently clarify advantages particulars and authorization necessities to inner and exterior clients is required. Proficient pc expertise related to the place required. Lotus Notes, Phrase and Excel most popular. Robust verbal and written communication expertise required. Robust customer support and phone expertise required. Should possess the power to interview sufferers in aggravating conditions whereas remaining calm and professional.
CLICK HERE TO APPLY
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