Maintains up to date knowledge of specific registration requirements for all areas, including but not limited to Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration Properly identifies the patient to ensure medical record

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity accounts Understand the Medicare Ambulatory Payment

Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Provide clerical, secretarial, word processing, and other support services as assigned. Demonstrate understanding of applicable business departments' operations, drivers, and/or procedures Receive information (e.g., medical records; physician letters; general correspondence) from stakeholders (e.g., providers; clients) Verify information (e.g., member information; type of

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Greeting and checking in patients as they arrive to our centers Verifies patient insurance information upon check in Copies insurance cards and driver's license for all new patients Collects patient paperwork and enters patient information into systems, ensuring patient information is accurate and up to date Review and process all assigned Prior Authorization orders to co

Reviews open delivery tickets and prioritize billing activities Creates invoices that are accurately generated and submitted on a timely basis Discuss insurance coinsurance, copays, and deductibles with patients and educate them on their insurance coverage as needed Set up, edit, and maintain payment arrangements in advance or post treatment of patients Researching and re

Review comprehensive diagnostic evaluations to ensure valid diagnosis has been given Obtain clinical information from providers on Applied Behavior Analysis requests for treatment Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines Manage outpatient cases througho

Provide exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to ma

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting Obtains referral, authorization and pre certification information and documents this information in system Identifies outstanding b

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits. Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner. Organizes a

Provide supervision to department staff, works independently, and collaborates with Physician and RN leadership on relevant clinical issues Recruit and retain talented staff and ensure proper training, resource allocation and develop standards to monitor and evaluate staff performance Implement and maintain clinical and business policies and procedures Ensures customer sa