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Admitting Representative
Location:
Granite City, IL
Description:
PRIMARY RESPONSIBILITIES Maintains working knowledge of billing computer systems and insurance verification systems. Verifies if pre-certification, referral or authorization is needed. Obtains pre-certification, referral or authorization number if completed and updates patient file. If not completed, contacts physician's office to complete with clinical information. Notifies patient and hospital department if not completed by appointment date. Informs Case Management of any in-patient insurance changes, out-of - network, poor or non-existing coverage, or when necessary. Notifies patient, appropriate family members, physician and/or supervisor of network insurance coverage issues (as above) that may result in coverage reduction. Notifies patients of co-payments, deductibles or deposits needed, when applicable. Documents in computer system. Refers self-payment patients to manager /director or approved personnel for follow-up and possible referral to Medicaid Eligibility Program representative. Maintains positive customer service at all times. Refers unresolved issues to appropriate supervisor / manager / director. Attends departmental and other meetings as scheduled. Maintains flexibility to work alternate shifts or positions as needed. Performs other duties as assigned Verifies insurance coverage and benefits by means of calling insurance company, using on-line Medicare, WebMD, Medicaid Envoy Systems or Internet insurance sites. Updates information on patients' record. EDUCATION AND TRAINING High school graduate or equivalent Additional college or business training preferred. EXPERIENCE Minimum of 2 years previous healthcare experience required SKILLS AND ABILITIES: CPR is not required Minimum typing skills of 35 wpm Through knowledge of computer systems in healthcare information systems. Knowledge of function and relationships with hospital environment preferred. Proficiency in medical terminology Working knowledge of insurance plans and requirements
Company:
Gateway Regional Medical Center
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Admitting Representative
Admitting Representative is a Clerical Admitting Representative Job at Gateway Regional Medical Center located in Granite City IL. Find other listings like Admitting Representative by searching Oodle for Clerical Admitting Representative Jobs.
Admitting Representative is a Clerical Admitting Representative Job at Gateway Regional Medical Center located in Granite City IL. Find other listings like Admitting Representative by searching Oodle for Clerical Admitting Representative Jobs.