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JOB SUMMARY

Responsible for collecting necessary benefit, authorization and patient estimate liability to properly financial clear upcoming patient visits. This position impacts the Hospital�s financial bottom line. Reimbursement for services rendered is dependent upon the insurance benefit verification and meeting the authorization requirements of the various insurance payers.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

1.Communicate with insurance companies for the purpose of collecting and documenting information necessary to financially clear patients (eligibility, authorization, benefits, and calculate patient liability calculations).

2.Coordinates with insurance providers and departments to obtain referrals and pre- authorization, documents these findings into the appropriate system(s).

FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense):

N/A SUPERVISORY RESPONSIBILITIES

This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

KNOWLEDGE, SKILLS, ABILITIES

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Ability to handle high productivity standards, at exceptional quality requirements
• Excellent verbal and written communication skills
• Proficient data entry and typing skills (40 WPM)
• Proficient in the use of general office equipment (computers, fax and copier)
• Exeptional problem solving and analytical abilities
• Effective communicator able to converse in a professional and intelligible manner regarding Patient Access business
• Ability to work within a team setting and be supportive of team members
• Ability to multi-task within multiple systems

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

• High school education or the equivalent
• 2 â�� 5 yearsâ�� administrative experience in medical facility, health insurance verification, or related area preferred
• 2 â�� 5 yearsâ�� experience in Customer Service or related call center environment preferred
• 1 â�� 2 yearsâ�� prior experience in a call center and hospital patient account billing with experience or knowledge of reimbursements from insurance companies and government payers preferred.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to sit at a computer terminal for extended periods of time
• Ability to work extended hours when required.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Call Center environment with headset and multiple work stations within close proximity

Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.