Job Overview :

This position is responsible for verifying patient insurance, confirming benefits eligibility, performing authorization and pre-certification, calculating and estimating patient liability, and / or notification as required by third party coverage providers.

Purpose of this job is to verify that TriHealth patient insurance information is accurate and up to date so payment will be received for services rendered.

Additionally, this position requires the knowledge to review medical records obtaining information such as diagnosis, prior treatment, sign and symptoms, medication and other medical information to submit requests for authorizations for surgery, testing or treatment.

Job Requirements :

High School Degree in Medical terminology course or equivalent knowledge

Knowledge of Medical Terminology

Insurance vocabulary and processes

Government and Non-government third party benefits and coverage rules

Understanding of the impact financial clearance services has on revenue cycle operations and financial performance

1-2 years experience Customer Service Healthcare Dedication to treating both internal and external constituents as clients and customers Maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality

Background in managed care or patient billing

1-2 years experience Technical Healthcare

Experience with automated patient account system or online verification systems

Job Responsibilities :

Other job-related information :

Working Conditions : Climbing - Rarely

Climbing - Rarely

Concentrating - Consistently

Continous Learning - Frequently

Hearing : Conversation - Consistently

Hearing : Other Sounds - Rarely

Interpersonal Communication - Consistently

Kneeling - Rarely

Lifting

Last updated : 2024-05-21