Required Education: High School graduate or GED.

Experience: Minimum of two (2) years related experience preferred.

Essential Functions

• Verifies patient insurance coverage prior to patient’s date of service.
• Calculates patient’s responsibility based on information obtained from the insurance carrier and procedure codes scheduled by the physician.
• Uses best coding for revenue enhancement. (CPT codes are in correct reimbursement order).
• Keeps current on insurance carrier compensation, Medicare/Medicaid and workmen's compensation policies and procedure for reimbursement.
• Works with Physician offices to ensure that proper authorization has been obtained for the facility.
• Contacts patients in order to pre-register and discuss any financial responsibility.
• Completes all patient demographic screens and makes arrangements for timely payment of patient pre-payment amount.
• Works with Admitting department to answer or assist patient questions regarding insurance benefit and financial questions.
• Works with Accounts Receivable department with follow up on any denials due to authorization issues.