Loyola University Health System 16 reviews - Maywood, IL

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Core Function: This position is the primary contact for all financial concerns prior to Ambulatory services being rendered. Primary functions include Reviews patient registrations, obtains benefit verification and necessary authorizations (referrals, precerts) prior to patient arrival for all ambulatory visits, procedures, injections and radiology services, (averaging 8,000 appts per week). Contacts self pay patients to make payment arrangements or discuss charity options. Collects patient payments for pre-arranged visits. Answers high volume of incoming phone calls from patients, physicians, insurance companies and clinic staff to confirm/facilitate the authorization. Performs insurance registration at an expert level(95% accuracy rate) and creates hospital account records to insure accurate billing to increase cash flow and revenue collection for the Health System. Communicates authorization issues regularly to clinic staff (clinical and clerical). Creates appropriate referrals to attach to pending visits. Documents all efforts in each account for all to see.

Position Requirements:Minimum Education:
Required: High School Diploma plus training acquired through work experience or education
Preferred: Bachelors Degree

Minimum Experience:
Required: 3-5 years of previous job-related experience

Position Responsibilities: Creates HARs for appointments after obtaining benefit information and authorizations. Perform insurance verification/precertification for all scheduled ambulatory visits including, but not limited to, office visits, radiology visits, high cost drug infusions. Contacts patients or patient guardians regarding insurance status issues or verification of insurance prior to patient arrival. Liason to Ambulatory Management regarding staff performance through documented rounds "on the job" training for service representatives and targeted communication of staff mistakes in registration. Provide support for the department by participating in special projects and assignments as needed.

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16 reviews