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Insurance Verifier - HCA (Austin, Texas) in Austin, Texas For Sale

Type: Sales, For Sale - Private.

DUTIES INCLUDE BUT ARE NOT LIMITED TO: Performs insurance pre-certification, verification, interviews patients prior to surgery, and documents information accordingly. Verifies and obtains all patient eligibility, authorizations, benefits, claim information with insurance companies, and 3rd party payers at least within 3 business days prior to surgery. Determines and documents accordingly patient portions due, amounts to be billed, contractual discounts to be taken, or any other authorized discounts that may apply. Communicates this information with appropriate personnel for preparation of the pre-admission process. Also communicates with appropriate personnel any problems arising with the verification of benefits. Identifies all patient accounts accurately based on what PPO, HMO, or other Managed Care Organizations the patient’s insurance plan might fall under. Contacts patients and provides updates on benefit verification information, requests additional information, insurance cards, and explains to the patient his or her financial responsibility such as co-pays, co-insurance, co-deductibles, at time of service. Accurately completes data entry necessary including authorizations and benefits as well as patient communication in the appropriate module of AdvantX. Makes financial arrangements after consulting with CBO Director/BOM when patient is unable to pay amounts due in full the day of surgery. Notifies CBO Director/BOM of any insurance carrier information changes. Maintains insurance plan request database; ensuring data is entered accurately and in a timely manner, as determined through facility processes. Meets all educational requirements as stated in policy and as required by the CIA. Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”. Other duties as assigned based on business operational needs. BEHAVIORAL SPECIFIC EXPECTATIONS: Supports and adheres to all company and Center policies and procedures. Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements. Supports and adheres to personnel policies and programs which specify privileges and responsibilities of employment, including compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk management program. Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety literature/policies.
Click here for more info: https://hca.taleo.net/careersection/0hca/jobdetail.ftl?job=xxxx2-xxxx3&lang=en

State: Texas  City: Austin  Category: Sales
Sales in Texas for sale

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