Financial Case Manager Assistant- Patient Access Management (FT- 1.0 FTE, Day Shift)

Bozeman Health • Evansville, IN

20d

About The Position

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
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Strong interpersonal, verbal and written communication skills
• Creativity, problem analysis and decision making
• Ability to work varied shifts
• Exercises tact, discretion, sensitivity and maintains confidentiality
• Computer applications, MS Office, EMR, internet applications and standard office equipment
• Ability to analyze, organize and prioritize work while meeting multiple deadlines
• Self-directed, completes assignments accurately, thoroughly and with minimal oversight
• Strong emotional intelligence, interpersonal and teamwork skills
• Lift 30 pounds of weight (pick up supplies, move equipment, etc.)
• Carry equipment/supplies.
• Effective Communication: Proficient in effective communication, both in person and through various technologies
• Handling Challenging Situations: The role may involve dealing with upset individuals, requiring the ability to de-escalate situations and work effectively with frustrated patients, families, or employees
• Ability to perform repetitive tasks as needed to fulfill job responsibilities

Nice To Haves

• 1 year in a hospital or outpatient clinic setting
• Previous ICD-10 and CPT coding
• 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.
• In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees