Visit Eligibility Validation Coordinator - ULP

JOB SUMMARY

Medical insurance verification of patient accounts to determine eligibility, benefits and co-pays due and ability to analyze patient accounts for outstanding balances as well.

Pre work GECB hold bill alerts and update visit insurance. Must be detail oriented and possess strong communication and interpersonal skills with the ability to multi-task.

Responsibilities

JOB RESPONSIBILITIES

• Verify patient eligibility six days out from appointment
• Determine patient’s benefits including deductibles, co-insurance and co-pay amounts
• Verify if authorizations are required and obtain, if necessary
• Verify benefits
• Call patients prior to appointment if there is a problem with patient’s insurance
• Working with patients to pay balances on account or create payment plan for balances due
• Work hold bill and marked event alerts
• Determine what is needed for the upcoming visit ex; consent, arrival form, ID, insurance card, picture, etc.
• Work visit insurance and arrange FSC accordingly
• Other duties as assigned.

Qualifications

MINIMUM EDUCATION & EXPERIENCE

• At least five years of insurance experience, preferred
• Understand insurance policies and processes
• Ability to utilize insurance websites proficiently
• Ability to communicate effectively
• Ability to anticipate and adapt to change positively
• Must possess solid customer service skills
• Strong investigative and problem solving skills
• Extensive knowledge of Centricity

KNOWLEDGE, SKILLS, & ABILITIES

• Takes initiative and willingness to help out
• Proactive-anticipates and plans for problems before they arise
• Service Excellence responsive, informs constituents of process, pleasant to work with, educates and provides timely, accurate information
• Organized manages time effectively, keeps tasks appropriately prioritized
• Flexible-ability to change direction as needed for the good of the Department
• Critical thinking skills-ability to think through issues and identify appropriate options
• Strong work ethic-motivated, diligent and persistent, stays on tasks to completion, works at a fast pace to ensure optimal efficiency
• Maintains a professional appearance at all times
• Interpersonal can build effective, strong working relationships with employees, colleagues, management, consultants, and media through trust, communication, and credibility
• Team ability to work with others, serve others, help others, lead others, mentor others, take directions from others in the interest of moving process and programs forward to the desired outcome
• Emotional Intelligence ability to not take issues personal, see the big picture in emotionally charged situations and respond in a mature, professional, composed manner
• Self-Awareness ability to reflect, understand limitations, and seek appropriate assistance and guidance
• Judgment exercises discretion and due diligence when making decisions and recommendations
• Quality is able to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalism

WORKING CONDITIONS

• Office environment-sitting, computer use, walking, lifting, phone use, etc.
6 hours ago