St. Bernards Healthcare
PREAUTH COORD/CODING/INSURANCE BILLER/PCT - BATESVILLE CARDIOLOGY CLINIC
St. Bernards Healthcare, Batesville, Arkansas, us, 72503
Overview
PREAUTH COORD/CODING/INSURANCE BILLER/PCT - BATESVILLE CARDIOLOGY CLINIC Role at St. Bernards Healthcare. The Pre-Authorization Educator is responsible for collecting appropriate pre-authorization information and verifying coverage of patients admitted under group or private insurance plans. Must be able to converse with insurance company and review agency representatives and possess communication skills to provide needed information in a clear and concise manner. Responsibilities
Pre-Authorization Educator will work closely with Business Office, Medical Records, Scheduling, Registration, and Administration to assure insurance process, pre-authorization, and utilization review flows smoothly. Educate the Admissions department and Pre Authorization Reviewers on insurance requirements, system processes, and new process implementation. Maintain good relations with clinics and clinical staff in a positive, professional manner. Prepare and accurately coding the hospital charge sheets daily, and ensure all charge sheets are accounted for. Input charges daily and verify accuracy of entered data. Filing of electronic claims and reviewing insurance reports every morning. Follow up with insurances on payment status or appeals due to denials or incorrect payments. Call patients for insurance information and arrange payment plans if needed. Respond timely to inquiries from payers and patients; high contact with patients, employees, physicians, and other members of the community; manage workload under deadlines. Occasional stress related to workload and deadline time frames; attendance is an essential function of the job. Qualifications
Education: Must be a high school graduate. Preferably 2 years of college prep or equivalent Vocational School training with emphasis on accounting or business. Completion of medical terminology and coding classes in ICD-9-CM. Experience: Pre-Authorization experience required. Two years in registration, scheduling, or business office required. At least two years in ICD-9-CM coding experience. Previous healthcare billing and follow-up experience preferred. Ability to work under deadline pressure; strong interaction with physicians, offices, and insurance carriers. Physical: Normal hospital environment. Close eye work. Hearing within normal range. Operates computer, telephone, copier, and other general office equipment. Continuous sitting with occasional walking and bending. Lifting and carrying charts and office supplies up to 20 lbs. Employment details
Seniority level: Entry level Employment type: Full-time Job function: Other Industries: Hospitals and Health Care
#J-18808-Ljbffr
PREAUTH COORD/CODING/INSURANCE BILLER/PCT - BATESVILLE CARDIOLOGY CLINIC Role at St. Bernards Healthcare. The Pre-Authorization Educator is responsible for collecting appropriate pre-authorization information and verifying coverage of patients admitted under group or private insurance plans. Must be able to converse with insurance company and review agency representatives and possess communication skills to provide needed information in a clear and concise manner. Responsibilities
Pre-Authorization Educator will work closely with Business Office, Medical Records, Scheduling, Registration, and Administration to assure insurance process, pre-authorization, and utilization review flows smoothly. Educate the Admissions department and Pre Authorization Reviewers on insurance requirements, system processes, and new process implementation. Maintain good relations with clinics and clinical staff in a positive, professional manner. Prepare and accurately coding the hospital charge sheets daily, and ensure all charge sheets are accounted for. Input charges daily and verify accuracy of entered data. Filing of electronic claims and reviewing insurance reports every morning. Follow up with insurances on payment status or appeals due to denials or incorrect payments. Call patients for insurance information and arrange payment plans if needed. Respond timely to inquiries from payers and patients; high contact with patients, employees, physicians, and other members of the community; manage workload under deadlines. Occasional stress related to workload and deadline time frames; attendance is an essential function of the job. Qualifications
Education: Must be a high school graduate. Preferably 2 years of college prep or equivalent Vocational School training with emphasis on accounting or business. Completion of medical terminology and coding classes in ICD-9-CM. Experience: Pre-Authorization experience required. Two years in registration, scheduling, or business office required. At least two years in ICD-9-CM coding experience. Previous healthcare billing and follow-up experience preferred. Ability to work under deadline pressure; strong interaction with physicians, offices, and insurance carriers. Physical: Normal hospital environment. Close eye work. Hearing within normal range. Operates computer, telephone, copier, and other general office equipment. Continuous sitting with occasional walking and bending. Lifting and carrying charts and office supplies up to 20 lbs. Employment details
Seniority level: Entry level Employment type: Full-time Job function: Other Industries: Hospitals and Health Care
#J-18808-Ljbffr