PURPOSE OF THIS POSITION
Arranges for the efficient and accurate resolution to pre service insurance authorizations. When appropriate, provides general information regarding hospital policies and procedures related to insurance benefits, patient rights, and patient financial responsibilities. Responsible for providing extraordinary customer service.
Duty 1: Monitors the Incomplete authorization worklist for all procedures/surgeries/inpatients and checks for authorization requirements via phone, fax, or online method
Duty 2: Updates worklist appropriately
Duty 3: Works with ancillary areas, Physician offices, insurance companies, and Utilization Review to obtain insurance authorization
Duty 4 Prepares WAIVERS to provide the patient an estimated cost for their procedure and communicates information related to this to Physician offices, patients and point of access areas when authorization is not obtained.
Duty 5. Communicates with Central Scheduling-Registration and other areas notifying to make updates to encounters as requested. Ex: Place on 'hold', ''Waiver attached', etc
Duty 6 Updates insurances as needed.
Duty 7: Participates in a variety of unit and hospital educational programs to maintain current skills and competency levels.
Duty 8: Has ability to problem solve and offers assistance as needed to all customer groups.
Duty 9: Performs all duties and responsibilities in a manner consistent with and supportive of the mission and value statement of Blanchard Valley Health System.