Vanderbilt University Medical Center-posted 6 days ago
Full-time • Entry Level
Onsite • Nashville, TN
5,001-10,000 employees

Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: Interventional Pain Center Job Summary: Assists in financial clearance relating to patient care with occasional guidance. Screens patients for referral to other funding resources.

  • Obtains certification from insurance companies for all office visits.
  • Verifies insurance information and registers cases in tracking system.
  • Evaluates patient assets and liabilities to determine ability to pay.
  • Reviews alternatives to admission and guides patient in applying for financial assistance.
  • Completes pre-certification, credit applications, and other necessary paperwork.
  • Performs investigative and follow-up work relating to reimbursement issues.
  • Performs tasks to support and obtains pre-certifications from insurance companies
  • Problem Solving (Novice): Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.
  • Data Entry (Novice): The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.
  • Customer Service (Novice): A continuing focus on the needs and requirements of customers, anticipating their needs, remaining sensitive to customers while performing services for them, responsive to customer needs.
  • Insurance Regulatory Knowledge (Intermediate): Demonstrates knowledge of the appropriate rules and regulations for insurance policies, claims, payment and coverage. Ability to interpret and explain rules and regulations that are ambiguous or unclear.
  • Relevant Work Experience Experience Level: 2 years
  • Education: High School Diploma or GED
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