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Accounts Receivable Coordinator (Accounting Clerk)

Medix • Pomona, CA

Posted 30 days ago

Job Snapshot

Full-Time
Healthcare - Health Services
Health Care
75+

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Job Description

Responsibilities

  • Makes verbal and/or online inquires to third party payers to verify insurance status, benefits and pre-certification requirements
  • Performs various clerical tasks to expedite the verification process, including documentation of guarantor information, patient information, checking deductible, out of pocket amounts and/or HRA amounts and balances
  • Counsels members, providers and other staff regarding eligibility and benefits
  • Re-verifies eligibility and benefits as requested by our payment center on a daily basis
  • Monitors and replies to emails sent to the eligibility department email
  • Assist Call Center department with phone calls
  • Register patients
  • Participates in educational programs, team meetings and in-service meetings
  • Run authorization check report weekly for accounts that are ready to be submitted for prior authorization
  • Review documents to ensure required clinical information has been received
  • Submit for prior authorization approval to insurance company
  • Veterans are to be registered in HearForm and assigned to an Epic Veterans Affair participating provider
  • Contact Veteran and schedule hearing test appointment and send referral paperwork to Veterans Affair provider
  • Work on spreadsheet daily to be sent to MSLA with updates

Qualifications/Skills

  • Proficient in Microsoft Word, Excel, and Outlook
  • Excellent customer service skills
  • Attention to detail in a fast paced environment
  • Ability to adapt to change
  • Ability to multi-task
  • Ability to work mandatory overtime when needed
  • Knowledge of third party insurance carriers

Job Requirements

Responsibilities

•Makes verbal and/or online inquires to third party payers to verify insurance status, benefits and pre-certification requirements
•Performs various clerical tasks to expedite the verification process, including documentation of guarantor information, patient information, checking deductible, out of pocket amounts and/or HRA amounts and balances
•Counsels members, providers and other staff regarding eligibility and benefits
•Re-verifies eligibility and benefits as requested by our payment center on a daily basis
•Monitors and replies to emails sent to the eligibility department email
•Assist Call Center department with phone calls
•Register patients
•Participates in educational programs, team meetings and in-service meetings
•Run authorization check report weekly for accounts that are ready to be submitted for prior authorization
•Review documents to ensure required clinical information has been received
•Submit for prior authorization approval to insurance company
•Veterans are to be registered in HearForm and assigned to an Epic Veterans Affair participating provider
•Contact Veteran and schedule hearing test appointment and send referral paperwork to Veterans Affair provider
•Work on spreadsheet daily to be sent to MSLA with updates

Qualifications/Skills
•Proficient in Microsoft Word, Excel, and Outlook
•Excellent customer service skills
•Attention to detail in a fast paced environment
•Ability to adapt to change
•Ability to multi-task
•Ability to work mandatory overtime when needed
•Knowledge of third party insurance carriers
Job ID: 60228
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