• Contacts all insurance carriers per patient, to insure proper coordination and reimbursement of benefits.
• Breaks down managed care contract reimbursements and estimates patient(s) financial responsibilities.
• Works closely with physician offices and patients to provide accurate patient financial responsibilities and to ensure scheduled procedures/admissions have proper pre-authorization.
• Interacts appropriately and effectively with all patient/others regardless of age or ethnic background.
• Initiates safe practices and is knowledgeable about current center policies and procedures. Specific procedures and practices related to pain management, abuse and neglect, sentinel events and response, variance reporting, response to sentinel event alerts, participation in root cause analysis and other key policies and procedures is required.
• Assists with environmental hazard and infection control surveillance participate in emergency preparedness drills.
• Follows all equipment safety guidelines and is personally responsible for knowledgeable use and care for all business equipment.

Required Skills

• High school diploma or GED certification
• Great attitude
• CPR Certification
• Proficient typing/ keyboarding skills
• Strong knowledge and understanding of Medicare, Managed Care, HMO/PPO plans and authorization/ referral requirements
• 1 YEAR OF MEDICAL INSURANCE VERIFICATION REQUIRED

Required Experience

• 1 Year of medical insurance verification REQUIRED 
• Proficient in computer skills: Word, Excel, Outlook
• Working knowledge of medical billing and insurance plan processes such as benefits verification and referral/prior authorization
• Professional appearance
• Ability to multi-task and work in a fast-paced environment

#USP-123