Gila Regional Medical Center
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at Gila Regional Medical Center
Perform insurance verification/eligibility requirements. Responsibilities include but not limited to heavy phone contact with managed care companies, communicate with insurance companies authorization departments regarding any CPT code discrepancies (as assigned), and contact patients and Physician offices prior to appointment if there is any insurance/ authorization issues.
Registers patients, verifies insurance, seeks authorizations when needed, and operates the central phone and alarm systems. Also expected to perform a number of clerical duties to assist the other departments in the day to day operations of GRMC. Ability to perform said duties in a responsible and professional manner utilizing individual knowledge and skills as well as the knowledge of hospital and departmental policies and procedures. All duties must be performed in compliance with approved standards of care and practice as defined by GRMC.
Minimum High School Diploma or GED
Minimum of 2 year of insurance verification experience, health education, patient navigation, and/or health clinic patient assistance field preferred.
Intermediate experience with MS Word, MS Excel, MS Outlook.
Knowledge of CPT and ICD-10 Codes.
Strong understanding of benefits investigating; deductibles, co-insurance, out of pocket expense & benefit exclusions.
Ability to effectively handle multiple responsibilities simultaneously in a deadline driven environment.
NOTE: Job description available upon request.