Pre-Cert/Benefits Analyst Internal

Good Samaritan • Vincennes, IN

5d • Onsite

About The Position

Achieves a high standard of billing to best meet Good Samaritan Hospital strategic goals. Ensures the highest third-party reimbursement for the benefit of the patient. Must be certified by HBI---Certified patient financial services specialist.

Requirements

• Must be certified by HBI---Certified patient financial services specialist

Nice To Haves

• Gets and distributes incoming, outgoing and inter office mail.
• Answers and directs phone calls.
• Updates job knowledge by participating in educational opportunities.
• Contributes to team effort by completing other duties as assigned.

Responsibilities

• Makes outgoing calls to insurance companies; utilizes insurance websites for pre-certification, authorization verification, or member eligibility when available.
• Works with intake to ensure procedures scheduled matches authorization request.
• Determines if client’s insurance is a part of the provider network for highest reimbursement possible.
• Documents appropriately in-coming pre-authorizations from insurance companies/maintains monthly reports to obtain on-going authorizations for future services as needed for clients.
• Communicates via telephone or written correspondence with providers and clinical staff to provide additional medical information.
• Reviews accounts receivables information and notifies Patient Accounts Manager of potential denial of payment issues.
• Alerts clinical staff of services scheduled for which no authorization is in place.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed