Preservice Specialist I
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Job Location:
Poughkeepsie, NY - USA
Hourly Salary:
$ 19 - 25
Posted on:
4 days ago
Vacancies:
1 Vacancy
Department:
Job Summary
Description
Summary:
Facilitates patient flow through the referral scheduling and financial clearance process. Responsible for obtaining demographic and financial information to ensure accurate patient identification and to secure reimbursement. Performs pre-registration functions and insurance eligibility verification. Provides estimates for services. Requests and secures payments
Responsibilities:
be assigned to schedule patients for hospital or medical group services by incoming phone calls online requests or outbound to patients. be assigned to work within the central referral management system to identify and schedule specialist and primary care referrals to NHMP practices as well as external providers when appropriate with the goal of promoting in-system retention of patients and continuity of care. excellent customer service both to physician offices and patients. Contributes to reduction of abandoned call rate length of calls and average speed answered through use of best practices and workflow improvements as defined by management. Receives incoming faxed physician orders. Verifies orders for compliance and insurance eligibility verification and executes payer requirements as needed. Obtains accurate insurance benefit information from payers such as deductible copay and coinsurance amounts. Utilizes patient estimation tool to calculate estimate of patient liabilities. Requires an understanding of coding procedural protocols and the charge description master. requests for authorizations pre-certifications notices of admission and referrals from insurance companies. Follows up with payers and providers to ensure that authorizations are in place. Takes appropriate steps to remediate situations in which financial clearance is not completed to ensure that Nuvance Health receives prompt payment for services rendered.6. Contacts patients to perform pre-registration including demographic verification conveyance of insurance benefits and estimates of liabilities. Collects on such liabilities prior to time of service utilizing provided scripting. Refers patients who express financial hardship to Financial Counseling for a financial assessment.7. Safeguards patient confidentiality by adhering to all department organization state and federal compliance guidelines. Fulfills all compliance responsibilities related to the position. 8. Performs other duties as assigned.
Other Information:
HS Diploma Required Minimum of 2-year job-related experience National Association of Healthcare Access Management (NAHAM) certification within one year of hire Basic MS Word & MS Excel. Customer service and organizational skills. Associates Degree Preferred with 6 months job-related experience - Preferred.
Working Conditions:
Manual: Some manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health Med Practice PC
Org Unit: 909
Department: HQMP Connect
Exempt: No
Salary Range: $19 - $25 Hourly
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Our hospitals, medical practice and care centers are located throughout New York’s Hudson Valley and Western Connecticut. At every location, you’ll find excellent convenient care, a personalized approach, a connected team, and access to our network of doctors. Find care now.
