¿Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service being provided.
¿Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
¿Creates documentation required to service the patient per policy and payer guidelines.
¿Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines.
¿Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.
¿Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes / additions to therapy for patients that are already on service.
Basic Education and/or Experience Requirements: High School Diploma or equivalent.
Basic Qualifications & Interests:
¿Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
¿Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
Required Qualifications & Interests: Previous Infusion Medical Billing/Collections or Intake/Admissions Experience.
This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.
A little about us:
We partner with people to improve skills, teams and lives every day, and we help them achieve more than they ever thought possible.