Position Summary:
Performs registration functions in an effective and efficient manner to enhance coding, billing and case coordination efforts. Makes appropriate independent decisions that require assessment, reasoning and resolution regarding financial requirements to assure appropriate reimbursement for both the patient and the hospital. Performs prior authorizations for patients admission/surgeries to ensure reimbursement for services and participates in denials management activities. Interprets and applies hospital policies regarding financial resources and arrangements. Uses exquisite customer service skills when handling patient encounters/issues.
Qualifications:
EDUCATIONAL REQUIREMENTS
Associate’s Degree in Related Field or Experience in Lieu of Education – One (1) year of relevant business, healthcare or finance work experience
CERTIFICATION & LICENSURE REQUIREMENTS
None Specified
EXPERIENCE REQUIREMENTS
Business Services or Financial Services. Customer service, handling difficult situations with customers/patients, medical/hospital practice experience.
SKILLS AND KNOWLEDGE
Keyboarding ability required. Deals effectively with stressful situations and maintains composure at all times. Ability to prioritize and multi-task for long periods of time. Insurance knowledge and basic understanding.
Essential Functions:
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee’s Form I-9 to confirm work authorization. | For more information: [email protected].
Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.
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