Verifies insurance eligibility and plan advantages. Contacts sufferers with inactive insurance protection to acquire up to date insurance info Validates coordination of advantages between insurance carriers. Explains insurance plan protection and advantages to sufferers, as crucial. Secures insurance authorizations and pre-certs for affected person providers each inner and exterior to Cooper. Creates referrals for sufferers having a Cooper PCP. Contacts exterior PCPs to acquire referrals for sufferers scheduled with Cooper suppliers. Refers sufferers with lower than 100% protection to Monetary Screening Navigators. Identifies copayment, deductible and co-insurance info. Collects and processes affected person legal responsibility funds previous to service.
Offers clear and concise documentation in techniques.
Communicates day by day with insurance corporations, inner clients, suppliers and sufferers.
Particular Necessities:
Scheduled Days / Hours: Monday by way of Friday
Excessive Faculty Diploma required.
2 years insurance verification or registration expertise in a hospital or doctor workplace most popular.
Working information of medical insurance plans & merchandise, coordination of advantages tips, and necessities for authorizations, pre-certifications and referrals most popular.
Proficiency in working with payor on-line portals, in addition to NaviNet, Passport or different third get together eligibility techniques most popular.
Proficiency in IDX Flowcast, Imagecast, and EPIC EMR methods most popular.
Expert in use of computer systems and software program purposes, i.e., Microsoft Phrase, Excel, Outlook, Access, registration and billing techniques.
Primary information of medical diagnoses and procedural codes
Wonderful verbal and written communications expertise
Capability to arrange, take unbiased motion and venture Cooper values to clients and
coworkers.
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