Insurance Reimbursement Specialist FT Days
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Job Location:
Hyde Park, UT - USA
Hourly Salary:
$ 19 - 37
Posted on:
5 hours ago
Vacancies:
1 Vacancy
Job Summary
Description
Position at Northern Dutchess Hospital
At Nuvance Health we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed respected and supported. Together we are a team of 15000 strong hearts and open minds. If you share our values of connected personal agile and imaginative we invite you to discover whats possible for you and your career.
Northern Dutchess Hospital is an 84-bed hospital located in picturesque Rhinebeck New York. We are leaders in the Hudson Valley for maternity and orthopedic excellence and provide award-winning care in a wide range of specialties from cancer and heart disease prevention to bariatric surgery and healthy aging services.
Our accolades include the following:
- The Leapfrog Group - Grade A for quality and patient safety
- U.S. News & World Report - High performance in knee replacement
- Surgical Review Corporation (SRC) - Robotic Center of Excellence
- Center for Medicare and Medicaid Services (CMS) - 5 Star Rating
At Northern Dutchess Hospital we pride ourselves on a culture of collaboration and teamwork where every voice is valued and contributes to our shared success. When you step through our doors you will feel a warm and welcoming atmosphere that makes our hospital a truly special place to work. Our staff is friendly dedicated and deeply committed to the well-being of our patients and each others success.
Summary:
- The Insurance Reimbursement Specialist is responsible for coordination and support of initiatives relative to the evaluation processing and handling of insurance verification/authorizations and patient benefits. Acts as a liaison between the insurance providers and agents claimants and policy holders regarding the status and eligibility for coverage for rehab services. This role is also an experienced back up to all other outpatient rehab support functions to include patient appointment scheduling coverage of front desk answering phones checking in patients and collecting co-pays.
Responsibilities:
- Performs insurance eligibility verification/authorization and executes payor requirements as needed. Includes initiating eligibility transactions to obtain necessary billing information and authorization referrals for service when appropriate.
- Obtains and understands necessary clinical information (including diagnoses) to initiate requests for authorizations.
- Ensures that proper selection of insurance plan type financial obligations pre-certification and billing address are assigned in the system.
- Communicates and updates all information in medical record pertaining to patients financial obligations to individual therapy sites clinicians and billing office to ensure all therapy treatments are authorized. This includes but not limited to copayments deductibles self-pay rates in-and-out of network responsibilities referrals authorizations and other information as needed.
- Answers patient inquiries regarding their liability and able to explain variables involved and assists in mitigating any issues or barriers that may come up. Determines need for financial counseling and directs patient to appropriate Nuvance Health resources.
- Collaborates with business office clinical teams and patient for the denial and appeals process as necessary.
- Maintains communication with System departments (e.g. managed care SBO FCC) to identify any changes trends or updates to existing or new contracts the System may have with an insurance company.
- Serves as back-up to other administrative functions as needed to includeregistering patients scheduling patients managing front desk operations (answering phones collecting co-pays etc..) and tracking plans of care.
- Performs other duties as assigned
- Ability to travel between outpatient sites as assigned based on coverage needs.
Job Qualifications:
- Experience with medical terminology medical coding billing procedures medical records.
- Basic knowledge of payor guidelines.
Working Conditions
- Working Conditions:
- Manual: significant 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: Northern Dutchess Hospital
- Org Unit: 1876
- Department: Rehab Services Admin
- Exempt: No
- Salary Range: $19.54 - $37.94 Hourly
With strong hearts and open minds were pushing past boundaries and challenging the expected all in the name of possibility. We are neighbors caring for neighbors working together as partners in health to improve the lives of the people we serve. If you share our passion for the health of our communities advance your career with Nuvance Health!
Required Experience:
IC
Key Skills
- Sales Experience
- Time Management
- Marketing
- Customer Service
- Communication skills
- Retail Sales
- Business Management
- Outside Sales
- Telemarketing
- Insurance Sales
- Medicare
- Phone Etiquette
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.
