Whitman Hospital and Medical Center
Authorization Representative
Whitman Hospital and Medical Center, Colfax, Washington, United States, 99111
Authorizations Representative
It's fun to work in a team where people truly BELIEVE in what they are doing! Rewarding career. Competitive salary. Outstanding benefits. The Authorizations Representative is responsible for verifying and obtaining insurance benefits information, coordinating with the Manager of Patient Financial Services for proper documentation completion for authorizations, pre-authorizing visits as required by insurance companies dependent upon the plan coverage for all patients, monitoring patient visits, managing denials, and coordinating with billing staff regarding claims. The Authorizations Representative must always maintain patient confidentiality and adhere to professional standards, hospital policies and procedures, federal, state, and local requirements at all times. Area Of Responsibility
Duties & Responsibilities Verifies insurance coverage, eligibility, benefits and obtains authorizations as required by the individual insurance company. Ensures scheduled visits are authorized. Collects monies towards copays, deductibles, co-insurances and cash accounts when applicable. Registers patients in the electronic medical record, as needed. Enters authorization information into the patient accounting system, including effective dates, authorized visits, patient information, billing information, and other authorization requirements. Ensures authorization has not expired for the scheduled patient visits. Follows proper patient/beneficiary notice procedures for potential non-coverage. Communicates authorization information to clinical staff. Obtains authorizations from insurance companies/physicians/medical benefits Management Company. Coordinates with billers regarding denials. Researches denials and facilitates retro-authorization or appeals. Communicates with provider offices regarding referrals. Communicates with clinical staff regarding patient authorizations. Disseminates benefit, eligibility and authorization information with patients/responsible party. Communicates with billers/coders/HIM for information needed for claims and/or records. Stays abreast of changes within the industry. Consistently seeks out work that needs to be completed; works on ongoing projects; and assists others as needed. Qualifications Required: GED or high school diploma at the time of hire. One or more years of experience working with insurance verification. Preferred: One to three years of experience with patient registration process in a Medical office setting. Experience working with an electronic medical record system. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! Pay Range: $21.00 - $36.75 Compensation: New hires should expect to start at the lower end of the range; actual pay offered will vary based on years of experience. Employee Benefits: Our benefit package includes medical, dental, vision, life insurance, and retirement options (403(b) & 457). Medical insurance coverage begins on day one and is available to both full time and part time employees. Additionally, employees receive discounts on medical services provided by Whitman Hospital and Medical Clinics. Differentials apply for evening, night, and weekend shifts. Our unique PTO plan enables employees to increase their accrual with each year of service (no more waiting five years for the next tier)!
It's fun to work in a team where people truly BELIEVE in what they are doing! Rewarding career. Competitive salary. Outstanding benefits. The Authorizations Representative is responsible for verifying and obtaining insurance benefits information, coordinating with the Manager of Patient Financial Services for proper documentation completion for authorizations, pre-authorizing visits as required by insurance companies dependent upon the plan coverage for all patients, monitoring patient visits, managing denials, and coordinating with billing staff regarding claims. The Authorizations Representative must always maintain patient confidentiality and adhere to professional standards, hospital policies and procedures, federal, state, and local requirements at all times. Area Of Responsibility
Duties & Responsibilities Verifies insurance coverage, eligibility, benefits and obtains authorizations as required by the individual insurance company. Ensures scheduled visits are authorized. Collects monies towards copays, deductibles, co-insurances and cash accounts when applicable. Registers patients in the electronic medical record, as needed. Enters authorization information into the patient accounting system, including effective dates, authorized visits, patient information, billing information, and other authorization requirements. Ensures authorization has not expired for the scheduled patient visits. Follows proper patient/beneficiary notice procedures for potential non-coverage. Communicates authorization information to clinical staff. Obtains authorizations from insurance companies/physicians/medical benefits Management Company. Coordinates with billers regarding denials. Researches denials and facilitates retro-authorization or appeals. Communicates with provider offices regarding referrals. Communicates with clinical staff regarding patient authorizations. Disseminates benefit, eligibility and authorization information with patients/responsible party. Communicates with billers/coders/HIM for information needed for claims and/or records. Stays abreast of changes within the industry. Consistently seeks out work that needs to be completed; works on ongoing projects; and assists others as needed. Qualifications Required: GED or high school diploma at the time of hire. One or more years of experience working with insurance verification. Preferred: One to three years of experience with patient registration process in a Medical office setting. Experience working with an electronic medical record system. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! Pay Range: $21.00 - $36.75 Compensation: New hires should expect to start at the lower end of the range; actual pay offered will vary based on years of experience. Employee Benefits: Our benefit package includes medical, dental, vision, life insurance, and retirement options (403(b) & 457). Medical insurance coverage begins on day one and is available to both full time and part time employees. Additionally, employees receive discounts on medical services provided by Whitman Hospital and Medical Clinics. Differentials apply for evening, night, and weekend shifts. Our unique PTO plan enables employees to increase their accrual with each year of service (no more waiting five years for the next tier)!