Authorizations & Benefits Verification Representative
2.
0 Columbus, GA Columbus, GA Estimated:
$32.
7K - $41.
3K a year Estimated:
$32.
7K - $41.
3K a year Description:
Southeastern Cardiology Associates, Southeastern Gastroenterology Associates, and SBD Medical Solutions strive to deliver the best care possible through a team approach.
From check-in to check-out, each employee participates in delivering the highest quality of care and attention in the Southeast.
Our commitment to our patient is that we will treat them like family.
We are compassionate and considerate.
We are passionate about advancements in technology and patient care.
We are educators and good listeners.
We believe that qualified cardiology care is not hard to find.
However, we think that embedding a world class group of cardiologists within a team that is committed to treating the patient and their loved ones is what truly sets us apart.
Our job is not done when the condition is diagnosed and treated appropriately.
We consider the mission accomplished when we have treated the problem and our team has communicated effectively with the patient and their loved ones.
Above all, we are here to serve our patients and their family.
Our team of specialized physicians, mid-levels, nurses, technicians, and staff are committed to providing the highest level of service - this team approach truly sets us apart.
Responsibilities:
Pre-Certifications/Pre-Authorizations & Benefits Review for office visits and add-on in-house testing.
Work pre-authorization schedule at least a week in advance of patient appointment Print schedule daily for each test that is performed in the office (including but not limited to:
nuclear, echo, vascular, Holter, CPET & INR) Check benefits for all patients who have Medicare.
Contact customer service representative for all other (non-Medicare) insurances; get benefits and authorization online or over phone, if required.
Place all appropriate notes in EClinicalWorks, attached to the visit (which will in turn attach to the claim).
Run add-on reports multiple times daily to catch any that fall through.
(Add-ons will be sent from SEC staff) Benefits & Office Visit Verification Work each office visit schedule at least a week in advance for each provider Obtain and attach referrals to the appropriate visit Determine the amount to be collected based on benefits and previous balances Flag accounts appropriately as necessary (i.
e.
:
referral required, balance due, needs new demographics, etc.
) Run add-on report to check for any additional visits that have been scheduled since working the original schedule Initial Review of Denials for Authorization Issues Contact self-pay or lapsed insurance patients at least 5 working days in advance of their appointment to obtain new/valid insurance or provided the cost of the visit Annotate all data in the patient's chart, payments needed are to be put in Billing Alerts Maintain exceptional communication with the front desk, check out and the call center to ensure patients are well informed of their monetary responsibility prior to being seen.
Monitor add-on list multiple times daily to ensure no add-on appointments are overlooked Scan documentation (Approvals for visits) into the patient's chart for prompt billing Requirements:
EDUCATION &
Qualifications:
High school graduate or GED equivalent General knowledge of insurance Job knowledge and skills Demonstrates the ability to achieve accuracy and consistency Applies knowledge to produce clean claims Monitors unbilled accounts and/or uncoded encounters to reduce any billing delays Applies knowledge of regulatory mandates and reporting requirements SEC Corporate Culture Expectations Demonstrates the SGI/SEC/SBD Corporate Culture at all times with colleagues, providers, outside offices/vendors, patients, and their family members.
Consistently portrays a positive attitude; excels in individual role while creating a culture of teamwork and cooperation; puts the patient/family first and regularly seek opportunities for self-improvement as well as operational improvement.
Core Competencies Approachability, Compassion, Customer Focus, Dealing with Ambiguity, Decision Quality, Ethics & Values, Integrity & Trust, Motivating Others, Peer Relationships, Drive for Results.
Estimated Salary: $20 to $28 per hour based on qualifications.
0 Columbus, GA Columbus, GA Estimated:
$32.
7K - $41.
3K a year Estimated:
$32.
7K - $41.
3K a year Description:
Southeastern Cardiology Associates, Southeastern Gastroenterology Associates, and SBD Medical Solutions strive to deliver the best care possible through a team approach.
From check-in to check-out, each employee participates in delivering the highest quality of care and attention in the Southeast.
Our commitment to our patient is that we will treat them like family.
We are compassionate and considerate.
We are passionate about advancements in technology and patient care.
We are educators and good listeners.
We believe that qualified cardiology care is not hard to find.
However, we think that embedding a world class group of cardiologists within a team that is committed to treating the patient and their loved ones is what truly sets us apart.
Our job is not done when the condition is diagnosed and treated appropriately.
We consider the mission accomplished when we have treated the problem and our team has communicated effectively with the patient and their loved ones.
Above all, we are here to serve our patients and their family.
Our team of specialized physicians, mid-levels, nurses, technicians, and staff are committed to providing the highest level of service - this team approach truly sets us apart.
Responsibilities:
Pre-Certifications/Pre-Authorizations & Benefits Review for office visits and add-on in-house testing.
Work pre-authorization schedule at least a week in advance of patient appointment Print schedule daily for each test that is performed in the office (including but not limited to:
nuclear, echo, vascular, Holter, CPET & INR) Check benefits for all patients who have Medicare.
Contact customer service representative for all other (non-Medicare) insurances; get benefits and authorization online or over phone, if required.
Place all appropriate notes in EClinicalWorks, attached to the visit (which will in turn attach to the claim).
Run add-on reports multiple times daily to catch any that fall through.
(Add-ons will be sent from SEC staff) Benefits & Office Visit Verification Work each office visit schedule at least a week in advance for each provider Obtain and attach referrals to the appropriate visit Determine the amount to be collected based on benefits and previous balances Flag accounts appropriately as necessary (i.
e.
:
referral required, balance due, needs new demographics, etc.
) Run add-on report to check for any additional visits that have been scheduled since working the original schedule Initial Review of Denials for Authorization Issues Contact self-pay or lapsed insurance patients at least 5 working days in advance of their appointment to obtain new/valid insurance or provided the cost of the visit Annotate all data in the patient's chart, payments needed are to be put in Billing Alerts Maintain exceptional communication with the front desk, check out and the call center to ensure patients are well informed of their monetary responsibility prior to being seen.
Monitor add-on list multiple times daily to ensure no add-on appointments are overlooked Scan documentation (Approvals for visits) into the patient's chart for prompt billing Requirements:
EDUCATION &
Qualifications:
High school graduate or GED equivalent General knowledge of insurance Job knowledge and skills Demonstrates the ability to achieve accuracy and consistency Applies knowledge to produce clean claims Monitors unbilled accounts and/or uncoded encounters to reduce any billing delays Applies knowledge of regulatory mandates and reporting requirements SEC Corporate Culture Expectations Demonstrates the SGI/SEC/SBD Corporate Culture at all times with colleagues, providers, outside offices/vendors, patients, and their family members.
Consistently portrays a positive attitude; excels in individual role while creating a culture of teamwork and cooperation; puts the patient/family first and regularly seek opportunities for self-improvement as well as operational improvement.
Core Competencies Approachability, Compassion, Customer Focus, Dealing with Ambiguity, Decision Quality, Ethics & Values, Integrity & Trust, Motivating Others, Peer Relationships, Drive for Results.
Estimated Salary: $20 to $28 per hour based on qualifications.
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