Primary City/State:
Virtual- Arizona
Category:
Billing and Revenue Cycle
Shift:
Day
Department:
Pre-Registration
PRN hours for department are Monday- Friday 7-5:30p.Insurance benefits and prior authorizations knowledge needed
Great care starts with great people. (Like you.)
At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
JOB SUMMARY
Ensures that an account is established for every scheduled patient. Obtains complete and accurate patient demographics, insurance plan and benefits information, and ensures treatment authorization is secured in advance of the scheduled procedure while maintaining a minimum accuracy rate on reviewed accounts as defined by departmental standards.
ESSENTIAL FUNCTIONS
- Verifies patients’ insurance coverage, eligibility, and Point of Service financial obligation for all scheduled services, and documents the system in detail. Adheres to all third party payer requirements for both government and commercial payers. Determines insurance eligibility and coverage, obtains/confirms authorization to avoid non-compliance and penalties to the patient, health system and physician. Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria. Collaborates with Case Management to ensure patient status is correct and documentation is provided to insurances as needed.
- Creates and/or updates hospital account. Obtains and enters into hospital information system required patient demographics and insurance information in a timely manner after procedure is scheduled. Documents all information according to departmental guidelines. Provides feedback to supervisor on changes/updates implemented by insurances as obtained.
- Contacts patients to verify demographic information and to perform financial counseling prior to time of service. Collects patient responsibility due, provides information on payment plans and financial assistance as necessary. Follows department and network policies concerning discounts, package rates and basic financial assistance.
EDUCATION
- High School Diploma or GED Required
- Associates in related healthcare field Preferred
EXPERIENCE
- 1 year in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections) Required or
- 3 years in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections) Preferred
LICENSES AND CERTIFICATIONS
We're all in for your career.