Job description
Summary
Job Summary
Responsible for verifying insurance coverage and eligibility of all patients' accessing services. Maintains confidentiality, professionalism, and ethics while assuring verification accuracy; pertaining to insurance coverage, demographics, and responsible party.
Job Responsibilities
- Verifies coverage and eligibility in real-time for multiple departments throughout the organization.
- Verifies insurance coverage presented by the patients.
- Complete tasks that fall to the patient, claim edits, and account work queues.
- Communicates effectively with the community, professionals, insurance companies, and external agencies.
- Supports Case Management Staff for current patient issues.
- Communicates closely with financial advocates to resolve issues that require patient input.
- Resolves issues related to eligibility and coverage identified by billing staff to ensure claim payments.
- Participates in maintaining the payer database in EPIC.
- Supplies educators with examples of coverage discrepancies used to assist in the continued training of Access staff.
- Problem solves and troubleshoots system errors and reporting issues and/or routes to system administrators.
- Assists with special projects and duties as assigned.
- Performs all functions related to registration/admitting via computer.
Qualifications
- High school diploma, General Equivalency Diploma (GED) or higher required upon hire
- No experience required
- No licensure/certification/registration required
Skills and Attributes
- Requires critical thinking skills and decisive judgment.
- Works under minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
- Knowledge in Medical Terminology and Medical Insurance.
Physical Demands
- Standing: Occasionally
- Walking: Occasionally
- Sitting: Frequently
- Lifting 0-25 lbs: Rarely
- Lifting 25-75 lbs: Never
- Lifting over 75 lbs: Never
- Carrying 0-25 lbs: Rarely
- Carrying 25-75 lbs: Never
- Carrying over 75 lbs: Never
- Pushing/Pulling 0-25 lbs: Rarely
- Pushing/Pulling 25-75 lbs: Never
- Pushing/Pulling over 75 lbs: Never
- Climbing: Rarely
- Bending/Stooping: Rarely
- Kneeling: Rarely
- Crouching/Crawling: Rarely
- Reaching: Occasionally
- Talking: Frequently
- Hearing: Occasionally
- Repetitive Foot/Leg Movements: Never
- Repetitive Hand/Arm Movements: Frequently
- Keyboard Data Entry: Frequently
- Running: Never
- Vision: Depth Perception: Frequently
- Vision: Distinguish Color: Frequently
- Vision: Seeing Far: Frequently
- Vision: Seeing Near: Frequently
Owensboro Health Core Commitments
INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.
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