Visit Eligibility Valid Coordinator, Nucleus Building, 800a-430p
Visit Eligibility Valid Coordinator, Nucleus Building, 800a-430p
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Salary Not Disclosed
1 Vacancy
Job Description
Primary Location:
Nucleus Building - ULP - AMGAddress:
300 E. Market St. Louisville KY 40202Shift:
First Shift (United States of America)Job Description Summary:
Job Description:
WE ARE HIRING!
Location:300 E. Market St. Louisville KY 40202
About Us UofL Physicians is one of the largest multi-specialty physician practices in the Kentuckiana region. With over 700 providers 200 practice locations and 78 specialties UofL Physicians academic and community physicians care for all ages and stages of life from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine teaching tomorrows physicians leading research in medical advancements and bringing the most progressive state-of-the-art health care to every patient. With more than 13000 team members physicians surgeons nurses pharmacists and other highly-skilled health care professionals UofL Health is focused on one mission: to transform the health of communities we serve through compassionate innovative patient-centered care. Our Mission As an academic health care system we will transform the health of the communities we serve through compassionate innovative patient-centered care.
Position Summary and Purpose
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.
Essential Functions:
Verify patient eligibility six days out from appointment
Determine patients 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 patients 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.
Other Functions:
Maintains compliance with all company policies procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned
Additional Job Description:
Job Requirements
(Education Experience Licensure and Certification)
Education:
High School Diploma or Equivalent required.
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
Job Competency:
Knowledge Skills and Abilities critical to this role:
The right candidates for this position must be dependable professional and a team player.
Language Ability:
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
Reasoning Ability:
Able to critically think through complex patient situations process improvements evidence-based practice.
Able to assist others in developing clinical reasoning skills.
Computer Skills:
What computer skills are required for this job What computer skills are preferred
Are there any specialized programs that the candidate must be able to use
Additional Responsibilities:
Demonstrates a commitment to service organization values and professionalism through appropriate conduct and demeanor at all times
Maintains confidentiality and protects sensitive data at all times
Adheres to organizational and department specific safety standards and guidelines
Works collaboratively and supports efforts of team members
Demonstrates exceptional customer service and interacts effectively with physicians patients residents visitors staff and the broader health care community
Required Experience:
IC
Employment Type
Full-Time
