VIS Precert/Insurance Verification (Outpatient)
VIS Precert/Insurance Verification (Outpatient)
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1 Vacancy
Job Description
Discover Vanderbilt University Medical Center: Located in Nashville Tennessee and operating at a global crossroads of teaching discovery and patient care VUMC is a community ofindividuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued your knowledge expanded and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniquenessis sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilts mission is to advance health and wellness through preeminent programs in patient care education and research.
Organization:
VIS PreCertificationJob Summary:
JOB SUMMARYThe PreCert/Insurance Specialist verifies patient insurance eligibility with payers. Obtains and updates patient registration information. Obtains referral and authorizations/recertifications prior to patient date of service. Accurately documents referrals and authorizations in practicemanagement system.
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KEY RESPONSIBILITIES
Verify insurance eligibility for new and returning patients utilize Passport telephone internet tools as necessary to obtain verification of insurance coverage
Correct/update all coverage information in practice management system as necessary
Obtain all precerts and authorizations necessary to ensure collectivity of services performed
Work directly with clinic and central scheduling to assist and/or perform insurance verification precerts etc. for all walk in or STAT patients as responsible during business hours; train clinic staff to perform this function after hours
Answer patient/clinic calls in a professional manner on an as needed basis
Perform or assist with referring office inservices related to insurance/precert issues on an as needed basis
Organize and prioritize work appropriately
Take initiative in identifying/researching insurance payor issues educate appropriate staff as necessary
Maintain confidentiality
Other duties as assigned
TECHNICAL CAPABILITIES
Our professional administrative functions include critical supporting roles in information technology and informatics finance administration legal and community affairs human resources communications and marketing development facilities and many more.
At our growing health system we support each other and encourage excellence among all who are part of our workforce. Highachieving employees stay at Vanderbilt Health for professional growth appreciation of benefits and a sense of community and purpose.
Core Accountabilities:
* Organizational Impact: Performs tasks that are typically routine that may impact teams performance with occasional guidance. * Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems. * Breadth of Knowledge: Applies knowledge of standards established processes and procedure that apply to your own job. * Team Interaction: Provides guidance to entry level coworkers.Core Capabilities :
Supporting Colleagues : Develops Self and Others: Continuously improves own skills by identifying development opportunities. Builds and Maintains Relationships: Seeks to understand colleagues priorities working styles and develops relationships across areas. Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner. Delivering Excellent Services: Serves Others with Compassion: Invests time to understand the problems needs of others and how to provide excellent service. Solves Complex Problems: Seeks to understand issues solves routine problems and raises proper concerns in a timely manner. Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support. Ensuring High Quality: Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards. Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department. Managing Resources Effectively : Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide highquality work/service. Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources. Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error. Fostering Innovation : Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact daytoday operations by offering suggestions to enhance them. Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action. Adapts to Change: Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.Position Qualifications:
Responsibilities:
Certifications:
Work Experience:
Relevant Work ExperienceExperience Level:
2 yearsEducation:
High School Diploma or GEDVanderbilt Health is committed tofosteringan environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
Employment Type
Full-Time
