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The Pre-Certification Representative is responsible for obtaining approval from insurance companies for services that require referral, pre-certification or prior authorization. All job functions are performed in a manner that promotes the highest level of compliance with various legal, regulatory and accreditation requirements while maintaining all protected health information in manner that complies with HIPAA requirements.
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Job Summary
Responsible for creation of all hospital supply and procedure charges ensuring all regulatory guidelines are met; identification of opportunities for additional hospital charges; ensure correct reimbursement for new supply items; coordination of MMP monthly audit reviews; provide charge price estimates as requested by patients and other external sources; monitoring billing/charging practices to identify hospital...
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The Insurance Assistant is responsible for submitting and following up on claims to third party payers in order to promote prompt reimbursements. The Insurance Assistant is responsible for monitoring the status of claims to determine which claims may need to be corrected and if needed, appealed.
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The Orthopaedic Center is looking for a highly motivated Registration Clerk. This opening is a full-time position averaging 40 hours per week. The Registration Clerk will perform an array of tasks such as greeting and assisting with check-in duties of all patients presenting for an appointment, as well as check out patients to include scheduling appointments and collecting co-payments. The Registration Clerk will assist other offices with coverage issues when needed, as well as any other duties assigned. The Registration Clerk must be able to communicate effectively with patients, TOC physicians and staff.
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The Orthopaedic Center is looking for a highly motivated Registration Clerk for our Urgent Ortho Clinic. This opening is a full-time position averaging 40 hours per week, and the shift hours are 10AM-7PM. The Registration Clerk will perform an array of tasks such as greeting and assisting with check-in duties of all patients presenting for an appointment, as well as check out patients to include scheduling appointments and collecting co-payments. The Registration Clerk will assist other offices with coverage issues when needed, as well as any other duties assigned. The Registration Clerk must be able to communicate effectively with patients, TOC physicians and staff.
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A Patient Access Clerk is a specialized health care professional who is responsible for obtaining and verifying patient demographic and insurance information to ensure proper billing of patient account as well as a means of contacting the patient in regards to their treatment and/or billing issues. Patient Access Clerks are the front line of Marshall Medical Centers and expected to be an exemplary model of customer service.
Primary Responsibilities:
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A Patient Access Clerk is a specialized health care professional who is responsible for obtaining and verifying patient demographic and insurance information to ensure proper billing of patient account as well as a means of contacting the patient in regards to their treatment and/or billing issues. Patient Access Clerks are the front line of Marshall Medical Centers and expected to be an exemplary model of customer service.
Primary Responsibilities:
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Job Summary:
Demonstrates through behavior Decatur Morgan Hospital’s mission, vision and values. Billing Insurance Follow Up Specialist is responsible to submit claims timely and accurately to insurance and governmental payers. To monitor their assigned payers and follow up on unpaid claims or claims identified within the at-risk claims work queue. To promptly resolve and resubmit those claims back to their assigned payers. The IBF Specialist is responsible for processing and posting payments both electronically and manually, applying appropriate contractual adjustments...
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Job Summary:
Demonstrates through behavior Decatur Morgan Hospital’s mission, vision and values. Billing Insurance Follow Up Specialist is responsible to monitor their assigned payers and follow up on unpaid claims or claims identified within the at-risk claims work queue. To promptly resolve and resubmit those claims back to appropriate billers at CBO. The IBF Specialist is responsible for working payer denial and incorrect payments and resolving issues with unpaid claims. The IBF Specialist will also work credit balances and process refunds with communication with our...
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A Patient Access Clerk is a specialized health care professional who is responsible for obtaining and verifying patient demographic and insurance information to ensure proper billing of patient account as well as a means of contacting the patient in regards to their treatment and/or billing issues. Patient Access Clerks are the front line of Marshall Medical Centers and expected to be an exemplary model of customer service.
Primary Responsibilities:
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A Patient Access Clerk is a specialized health care professional who is responsible for obtaining and verifying patient demographic and insurance information to ensure proper billing of patient account as well as a means of contacting the patient in regards to their treatment and/or billing issues. Patient Access Clerks are the front line of Marshall Medical Centers and expected to be an exemplary model of customer service.
Primary Responsibilities:
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A Patient Access Clerk is a specialized health care professional who is responsible for obtaining and verifying patient demographic and insurance information to ensure proper billing of patient account as well as a means of contacting the patient in regards to their treatment and/or billing issues. Patient Access Clerks are the front line of Marshall Medical Centers and expected to be an exemplary model of customer service.
Primary Responsibilities:
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Performs internal audits of hospital accounts; processes routine insurance audits; audits accounts as requested by patients; performs audits of accounts to separate medical charges from elective cosmetic surgery procedures; manual charge entry/credit for Pharmacy discrepancies; charge correction and billing requirements for Medical Oncology accounts, provide written appeals for RAC and non-RAC denials.
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The Centralized Scheduling Representative will promptly answer telephone calls and schedule patients in a timely manner within Department guidelines. In addition to scheduling outpatient tests and procedures, the Centralized Scheduling Rep will enter demographic and insurance information, Pre-Cert Info when applies. The Centralized Scheduling Representative accurately listens to requests from patients, physicians, physician’s office personnel, and inter-hospital departments in an effort to effectively schedule patients for procedures giving high priority to customer service and complete customer satisfaction. Must maintain the Dept Standards of “Talk Time” and also working together as a team. The Scheduling Representative is responsible for...
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The Insurance Assistant is responsible for submitting and following up on claims to third party payers in order to promote prompt reimbursements. The Insurance Assistant is responsible for monitoring the status of claims to determine which claims may need to be corrected and if needed, appealed.
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The Centralized Scheduling Representative will promptly answer telephone calls and schedule patients in a timely manner within Department guidelines. In addition to scheduling outpatient tests and procedures, the Centralized Scheduling Rep will enter demographic and insurance information, Pre-Cert Info when applies, into the 1Chart Scheduling system. The Centralized Scheduling Representative accurately listens to requests from patients, physicians, physician’s office personnel, and inter-hospital departments in an effort to effectively schedule patients for procedures giving high priority to customer service and complete customer satisfaction. Must maintain the Dept Standards of...
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Job Summary: Professionally and courteously interviews patients and/or family members
to obtain accurate and complete demographic, financial, and medical information for the registration/admission process and patient identification. Verifies insurance eligibility and benefits. Estimates patient responsibility, collects, and posts payments. Ensures the smooth flow of patients through registration areas....
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Acts as collaborative member of the clinical team in providing continuity of and quality patient care. Initiates patient care, gathers vital signs, prepares patient and exam room for procedures, and collects specimens. Provides patient education and support as needed to assist physician, patient and family. Assists coworkers and draws blood as needed.
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- Reviews and audits accounts located in contract denial management system on a daily basis to resolve and maintain collection status on an account prior to escalating to Team Lead for further review.
- Reviews and processes commercial accounts through contract management system.
- Verifies eligibility, corrects and...
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Greets the public, patients, and families. Obtains and enters demographic and financial information for all patient types. Handles all customer service issues in a customer friendly manner. Accurately listens and responds appropriately to address and resolve issues at hand. Must ensure all paperwork is checked for registration accuracy. Must continually enhance knowledge regarding administrative processes in order to train new hires and existing employees. Should show initiative in process improvement. Must collect required fees from patients or authorized representatives. Responsible for daily operations. Must be flexible to work as scheduled or needed, which may include alternate shifts,...