Insurance Specialist (TEMP) chez Cape Cod Hospital
Cape Cod Hospital · Hyannis, États-Unis d'Amérique · Onsite
- Professional
- Bureau à Hyannis
- Responds to incoming calls regarding insurance authorizations, information requests, and denials.
- Regularly updates knowledge of third party payor regulations, and updates staff in writing of any changes as they become known.
- Verifies insurance pre-authorization/certification for services, including number of visits approved and dates that services are covered.
- Accurately completes insurance tracking sheet for each patient and each discipline.
- Tracks insurance caps and ensures that patient treatment does not exceed monetary allowance as outlined by insurance company; notifies patient and therapist of insurance caps.
- Acts as liaison between patients and clinicians regarding authorization and usage of visits.
- Follows through on requests for information within 24 hours
- Recognizes referral errors and makes corrections as needed.
- Compiles and submits appeal letters on receipt of denial.
- Obtains and submits information to resolve denials.
- Consistently ensures documentation received for extension approvals are in the medical record on the date received and communicated to the patient to ensure no interruption in care.
- ·Provide accurate and comprehensive information about all third party payors and requirements for authorized visits.
- Performs the basic duties of the Rehab Department secretary to cover brief absences.
- Communicate clearly and tactfully with patients and their families, maintaining confidentiality at all times.
- Attends departmental meetings as required.
- Acts as a resource and support person for front office staff.
- Perform other work related duties as assigned or requested.
Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital's commitment to CARES: compassion, accountability, respect, excellence and service.
- Ability to read, write and communicate in English.
- High school graduate or equivalent.
- Two years experience in a medical or rehab office, clinic, or comparable hospital experience utilizing insurance company websites required.
- 1 year experience working with third party payors including referral and authorization requirements.
- Successful passage of basic medical terminology course OR successful passage of the CCH Medical Terminology exam.
- Keyboarding skills at 35 WPM as demonstrated by successful passage of a timed test.
- 1 year experience with hospital, clinical or medical office based information system.
- Basic mathematics skills and ability to apply skills, as demonstrated by successful passage of a timed business math test, using manual and aided computations to solve problems.
*!%3Cp style=%22margin: 0in;;text-align:left%22 style=%22margin-top:0px;margin-bottom:0px%22%3E%26nbsp;%3C/p%3E%0A%3Cp style=%22margin: 0in;;text-align:left%22 style=%22margin-top:0px;margin-bottom:0px%22%3E%26nbsp;%3C/p%3E%0A%3Cp class=%22MsoNormal%22 style=%22margin-top: 0px; margin-bottom: 0px;;text-align:left%22%3E%3Cstrong%3ECape Cod Healthcare has been made aware of an instance in which a potential scammer has attempted to impersonate CCHC leadership and request chat interviews. Please note this is not our process and we will never direct you to interview solely through web-based chat. For any questions about available job opportunities or to learn more about our interview process please visit our careers page:%26nbsp;%3Ca href=%22https://www.capecodhealth.org/careers/%22%3E%3Cspan style=%22line-height: 107%;%22%3E%3Cspan style=%22font-family:%26quot;microsoft sans serif%26quot;, sans-serif%22%3E%3Cspan style=%22font-size:11.5pt%22%3Ehttps://www.capecodhealth.org/careers/%3C/span%3E%3C/span%3E%3C/span%3E%3C/a%3E%3C/strong%3E%3C/p%3E Postuler maintenant