Patient Benefit Coordinator / Full Time / Days

Essential Functions

• Verify insurance eligibility and registration accuracy by obtaining registration and scheduling documentation from ancillary departments and surgery; verify and correct insurance information; and contact physician offices to secure updated coverage details as needed.
• Secure precertification and authorizations through initiating contact with insurance companies and third-party payers to obtain required precertification; gather and submit supporting clinical documentation; coordinate with utilization review staff; and enter admissions into MCG when applicable.
• Document and communicate benefit information by recording detailed benefit verification information—including deductibles, coinsurance, exclusions, referral requirements, and limitations—in account notes and verification forms; and professionally communicate coverage details to physicians, staff, and patients.
• Manage denials and appeals by initiating and monitoring precertification appeals within required timeframes; follow up with payers for status updates; and submit additional documentation to support medical necessity and authorization approval.
• Perform revenue cycle operations and regulatory compliance activities, including financial services projects, reporting, system updates, medical record requests, and ongoing monitoring of insurance and government regulatory requirements impacting benefits and prior authorization.

Requirements

• Education: High School Diploma or GED
• Licenses: None
• Experience: None
• Certifications: None

Benefits

• Join our team, and you’ll have access to a cutting-edge facility with state of the art technology.
• You’ll also interact with some of the region's top notch healthcare professionals.
• You’ll find plenty of opportunities to grow and advance your career.
• We’ll Also Reward Your Hard Work With Great health, dental and vision plans Competitive wages Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Generous short term and long term disability plans Employer-matched 403(b) Employer sponsored cash balance pension plan Vacation and Holiday time Generous tuition reimbursement And a lot more!