Assists in ensuring that the pre-certification, re-certification, and concurrent review processes are performed and are complete, accurate and on time. Develops and implements communication mechanisms that promote accurate and timely reimbursement of cases. Contacts patients to verify that patient's demographic and insurance information and to coordinate this information with nursing case management. Expedites payment of patient account balances. Identifies all admissions and encounters with potential financial concern. Makes financial arrangements for patient care encounters. Coordinates financial services with MEP.
Demonstrates a working knowledge of patient accounting, to include Managed Care contracts interpretation.
Hospital collection experience preferred.
Must be self motivated once job duties are learned and is able to work with minimal supervision.
Must be accurate with names and numbers.
Additional languages.
Basic computer skills.
High School graduate or equivalent.