Team player who thrives under pressure and utilizes extensive customer service, problem solving, and verbal/written communication skills.
Financial Service Representative II Home Health (Current Employee) – Cincinnati, OH – February 6, 2015
Responsible for timely insurance notification, eligibility, obtain benefits, and handle precertification for all admissions, surgeries, and outpatient services including observation, special procedures and other selective outpatient testing in accordance with payor requirements including self-pay accounts.
Work with departments and outside entities to establish a positive working relationship that promotes cooperation and teamwork.
Communicate with Quality Management on a daily basis to ensure the appropriateness of accounts requiring precertification and follow-up by UR personnel. Work closely with Non-Sponsored Unit in the sharing of account information to minimize potential denials and aid in the financial assisting process. Maintain a communications network with physicians’ offices and payors to help obtain needed information and resolve problem accounts.