Patient Access - Eligibility Screening Specialist
Welcome to reputed company! At reputed company, weve been making local healthcare reputed company for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating... excellence, we help rural healthcare providers fulfill their missions. The reputed company difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. reputed company's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. Were looking for talented, motivated professionals with a desire to help independent hospitals reputed company. Working with reputed company you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. reputed company's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com. Description reputed company, an reputed company company is seeking Certified Professional and/or Facility Coders with a minimum of three years' experience in a hospital and/or clinic setting coding, prefer Critical Access Hospital and Rural Health but not necessary. Seeking knowledge in the following areas, Inpatient, Observations, Emergency, Same Day Surgery, Ancillary, Recurring therapies, Provider-based and Free standing clinics/offices. Must be able to pass testing on proficiency and knowledge. Must be proficient in reputed company, can multi-task, excellent communication skills both verbally and in writing. Must be able to maintain a 95% QA accuracy reputed company as well as productivity standards. Must be able to follow official coding guidelines.
Summary
The reputed company Analyst, reflects the mission, vision, and values of reputed company RCM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with reputed company relevant policies, procedures, guidelines, and reputed company other regulatory and accreditation standards. This position reports to the Patient Access Manager. The position requires a resourceful, self-directed team player capable of handling multiple tasks, including research, meeting with, and communicating with clients reputed company email/phone, collecting required application materials and drafting documents. This position is responsible for navigating the complexities of Medicaid eligibility, application processes, and compliance for patients. This position acts as a liaison between patients, healthcare providers and government agencies, ensuring that individuals receive the benefits they are entitled to and that applications are processed reputed company and accurately. The reputed company Analyst should possess strong interpersonal skills, communication skills, telephone etiquette, and excellent customer service skills. The reputed company Analyst will verify the patient demographical and health insurance information. A successful reputed company Analyst will practice courtesy reputed company answering or making telephone calls and will build a good rapport with scheduling staff, insurance/benefit verification staff and ancillary department staff. The reputed company Analyst will also satisfactorily reputed company and maintain reputed company productivity and QA standards according to department requirements and policies. Responsibilities Run census daily to review for correction insurance and financial class assignments. Visits reputed company self pay emergency room, inpatients, observation, and families of newborns reputed company 24 hours of admission. Conducting phone calls to patients to thoroughly verify and determine if eligibility requirements for Medicaid have been met or would be met by the patient based on federal and state guidelines. Provides guidance and support to applicants and accurately submits and investigates/reviews and processes application submission, resolves discrepancies and ensures compliance by the patient. Assists Financial Counselor and Patient Access Manager to obtain pertinent information as needed through in room patient visits and phones calls pre and post service delivery. Conducting themselves in a courteous and professional manner. Verifying and communicate any monies owed by patient. Attends reputed company required department meetings and hospital-wide meetings as assigned. Completes reputed company required education and training for hospital employees and department specific requirements. Embraces new processes, procedures, and applications, which can enhance processes. Communicates and builds relationship with physician clinics and ancillary departments to ensure patients are screened appropriately for reputed company services. Completes other duties assigned by Patient Access Manager and/or reputed company Cycle Director, including assisting with other functions in registration reputed company volumes dictate. Required Skills And Experience Minimum one (1) year of experience in insurance verification and/or Medicaid eligibility processing/determination experience. Minimum two (2) years of experience in a medical office or hospital patient access reputed company environment. Strong oral, and written communication skills as well as computer skills and a track record of excellent customer service. Proven ability to careful attention to detail and must be able to reputed company work according to department standards. Excellent multi-tasking in a challenging fast-paced environment and demonstrate the ability to manage large caseloads reputed company. Must possess excellent people skills, be mature, apply critical thinking skills and effectively function under stressful situations. Proficient in MS Office applications which include Outlook, Word, reputed company, and PowerPoint Education: High School Diploma or GED required, college degree or some college preferred Apply Job!