Insurance Verification/Authorization, Payment Poster
Via current speedy progress, Stonegate Submit Acute Managment is in search of a extremely motivated and environment friendly Insurance Verification/Authorization, Payment Poster who enjoys challenges and duty. The Insurance Verification/Authorization, Payment Poster will confirm advantages and acquire authorization as required by insurance corporations dependent upon the plan protection for all sufferers. Publish funds to affected person accounts. Current expertise in a house well being workplace setting is required.
Chargeable for
Performs telephonic and on-line insurance verification and authorization.
Determines member profit protection and informs company personnel.
Sends medical documentation if wanted to acquire authorization for providers.
Communicates with company personnel with authorization and denial info.
Enters authorization for providers within the software program.
Supplies day by day Authorization report back to company personnel.
Applies cost and changes to affected person accounts as applicable
Evaluate rationalization of advantages for proper adjudication and cost based on relevant managed care contract phrases and reimbursement.
JOB REQUIREMENTS
Schooling: Excessive Faculty diploma
Necessities: At the least one yr of insurance verification mandatory; together with navigating web sites for on-line profit critiques. Demonstrated information of insurances. The power to work properly beneath strain (most paperwork is time delicate)
Different expertise: expertise in drawback fixing; capable of multi-activity; time management expertise & capable of work independently; prioritization expertise useful; negotiation expertise.
EOE
Via current speedy progress, Stonegate Submit Acute Managment is in search of a extremely motivated and environment friendly Insurance Verification/Authorization, Payment Poster who enjoys challenges and duty. The Insurance Verification/Authorization, Payment Poster will confirm advantages and acquire authorization as required by insurance corporations dependent upon the plan protection for all sufferers. Publish funds to affected person accounts. Current expertise in a house well being workplace setting is required.
Chargeable for
Performs telephonic and on-line insurance verification and authorization.
Determines member profit protection and informs company personnel.
Sends medical documentation if wanted to acquire authorization for providers.
Communicates with company personnel with authorization and denial info.
Enters authorization for providers within the software program.
Supplies day by day Authorization report back to company personnel.
Applies cost and changes to affected person accounts as applicable
Evaluate rationalization of advantages for proper adjudication and cost based on relevant managed care contract phrases and reimbursement.
JOB REQUIREMENTS
Schooling: Excessive Faculty diploma
Necessities: At the least one yr of insurance verification mandatory; together with navigating web sites for on-line profit critiques. Demonstrated information of insurances. The power to work properly beneath strain (most paperwork is time delicate)
Different expertise: expertise in drawback fixing; capable of multi-activity; time management expertise & capable of work independently; prioritization expertise useful; negotiation expertise.
EOE
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