Position Summary
Responsible for scheduling, pre-registration and verification of benefits for hospital patients. Determines if patient’s benefits will cover services provided by Shore Medical Center, level of assistance for patients who have insufficient insurance coverage and identifies patients who have financial responsibility after insurance. Pre-encounter Collections is provided within the realm of this position.
Core Responsibilities
• Perform insurance eligibility and verification status checks on services for all payors according to standard operating procedures.
• Enters insurance eligibility and verification status in systems.
• Obtains precertification and referrals and documents accordingly in registration systems.
• Insures accuracy of patient demographics.
• Informs patients of out of pocket expenses for services provided.
Minimum Requirements
• Insurance Verification/Authorization Experience
• Ability to walk/stand for extended period of times
• Ability to lift, push, pull
• Intermediate Computer/Keyboard/Word Processing Skills
• Strong Interpersonal/Communication/Organizational Skills
• Detail Oriented/Must be able to work independently
• ICD Coding Experience
• 2 Years Office/Secretarial Experience in Medical Setting
• CPT Experience
Preferred Requirements
• Outpatient Scheduling Experience
• Spreadsheet Application Experience
• AS 400 Experience
• Procedural Scheduling Experience
Additional information
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.
• This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company’s rights to assign or reassign duties and responsibilities to this job at any time.
• Shore Medical Center is an Equal Opportunity Employer. All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law.
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