Financial Case Manager Assistant - Patient Access Management (FT- 1 FTE, Day Shift, Remote Eligible) Must Reside in Montana!

Bozeman Health • Evansville, IN

258d • Hybrid

About The Position

This position is eligible for remote work following the completion of onsite training and onboarding. The onsite training will span 15 days and will be scheduled immediately after the hire date is confirmed. Must reside in Montana! Position Summary: Assist in coordinating the pre-authorization and assistance programs. Provides timely communication to the providers and nursing staff and patients as it relates to insurance guidelines and pre-authorization process. Assists in assessment of patient financial needs. Provides information regarding available patient assistance programs. Assists in the claims denial process for insurance carriers and develops an appropriate appeals response as necessary.

Requirements

• High School diploma required.
• 1 year in a hospital or outpatient clinic setting preferred.
• Previous ICD-10 and CPT coding experience.
• Previous experience in medical pre-authorization, case management and/or financial counseling.

Responsibilities

• Verifies eligibility and benefit information with insurance companies and communicates with physicians and staff before services are scheduled.
• Collaborates with staff and referring clinics regarding pre-authorizations.
• Collaborates with staff regarding denials.
• Reviews patient assistant program guidelines for potential patient enrollment.
• Communicates and collaborates with Clinical Operations Manager.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED