Scheduler & Insurance Verification- Atrium Health Huntersville FT
About The Position
Accepts calls for the scheduling of patients and accurately gathers the information required on patients. Secures proper patient identification and may gathering of various clinical documents such as history/physical, medical records, ancillary reports, etc. Accurately researches, obtains and verifies the most current insurance information on the patient, which may include gathering all applicable addresses for claim submission concurrently understanding various state/federal regulations as related to medical guidelines. Works closely with clinical staff to ensure the proper rooms, equipment and staff are available for the case in question. Works with the appropriate insurance carrier to properly determine the patient's insurance benefits. This enables them to accurately anticipate the patient's amount due for the selected procedure. Works with patients to explain payment policies and negotiates with the patient, or responsible party, a mutually acceptable resolution to the financial amounts owed. Regularly facilitates calls to physician providers to acquire the service authorization number. Understand commercial insurance payment methods and determine how implants are often reimbursed. May train as a backup or assistant biller as needed. May also train on insurance follow up and/or collections as requested.
Requirements
- High school diploma required, Community College or trade school experience preferred.
- 1-3 years experience in a medical office environment required, with some familiarity with diagnosis and procedures.
- Applicants must have demonstrable skills using computer, email, outlook, skype and other Microsoft office programs, especially Excel and Word.
- Applicants needs some medical terminology background or an ability and willingness to learn quickly.
- Excellent written and verbal skills, a high level of judgement and resourcefulness when dealing with both internal and external customers.
- Knowledge and/or experience with EMRs and/or physician practice scheduling software required.
- Ability to resolve conflict and read and understand insurance benefits and communicate those benefits to others.
- Ability to use basic math skills to generate balance estimates for surgery cases.
Responsibilities
- Accepts calls for the scheduling of patients and accurately gathers the information required on patients.
- Secures proper patient identification and may gathering of various clinical documents such as history/physical, medical records, ancillary reports, etc.
- Accurately researches, obtains and verifies the most current insurance information on the patient, which may include gathering all applicable addresses for claim submission concurrently understanding various state/federal regulations as related to medical guidelines.
- Works closely with clinical staff to ensure the proper rooms, equipment and staff are available for the case in question.
- Works with the appropriate insurance carrier to properly determine the patient's insurance benefits.
- Works with patients to explain payment policies and negotiates with the patient, or responsible party, a mutually acceptable resolution to the financial amounts owed.
- Regularly facilitates calls to physician providers to acquire the service authorization number.
- Understand commercial insurance payment methods and determine how implants are often reimbursed.
- May train as a backup or assistant biller as needed.
- May also train on insurance follow up and/or collections as requested.
Benefits
- Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
- Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance
- Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
