Detail of : Patient Connection Center Verification Associate II Job Opening in Atlanta
JOB PURPOSE: Serves as front line support for the Patient Connection Center within . Reviews orders for complex outpatient services and specialized procedures (i.e., surgeries) to ensure completeness prior to scheduling. Prepares for the patient visit by verifying patient insurance, confirming benefits, determining authorization requirements, reviewing medical necessity, and creating patient liability estimates.
KEY RESPONSIBILITIES: Responsible for reviewing complex outpatient service and specialized procedure orders for accuracy. Verify patient demographic information and insurance. Confirm benefits and determine if any authorization requirements are needed. Reviews medical necessity and creates patient liability estimates. Calculates and determines financial responsibility for patients including deductibles, co-payments, and amounts covered for requested services. Ensure all data elements pertaining to the requested services are entered in Revenue Cycle systems.
MINIMUM EDUCATION REQUIRED: High School graduate or GED
MINIMUM EXPERIENCE REQUIRED: Two (2) years exp in Revenue Cycle or related exp in clerical accounting/finance, with one of those years working specifically within Healthcare Revenue Cycle.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: None.
ADDITIONAL QUALIFICATIONS: Four (4) years of related healthcare Revenue Cycle experience preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred. Prior Epic experience preferred.
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