Job description
Patient focused, community oriented, conveniently located and equipped with technology that rivals the nation’s most prestigious healthcare systems, Portneuf Medical Center offers a comprehensive and growing array of services delivered by caring and highly skilled medical professionals.
Our mission statement “World Class Care, every patient, every time” helps us focus on what truly matters: You. And our commitment is to make sure our patients receive amazing care every time they have contact with Portneuf Medical Center. The physicians, nurses and volunteers who are a part of the Portneuf family are your friends and neighbors. We're your community, your hospital and team, working hard for you.
- Verify benefits and eligibility, financially clearing patient for all scheduled services as well as initiate/obtain authorizations.
- Research denials for no authorization, pre-existing and appeals, obtain retro-authorization.
- Screen for and assist with uninsured patients for charity/disability/Medicaid/Veteran/free drug assistance and/or refer them to appropriate agencies.
- Acts as a patient advocate providing assistance, direction, guidance and input to the patient billing process. Answers and researches any billing questions, concerns for the patient.
- Researches billing and reimbursement practices for proper diagnosis coding and procedures and treatment services. Advise staff of billing and coding changes.
- Coordinate and review delinquent accounts with the business office.
- High School Diploma or equivalent
- Two year hospital and / or outpatient billing experience preferred
- Demonstrated experience with dealing with insurance payers, the preauthorization and denial process.
- Writing/editing skills necessary to produce appropriate documentation and communications.
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