What are the responsibilities and job description for the Verification and Authorization Representative, Patient Access Center (Full Time) position at CO_01 Benefis Hospitals, Inc.?
Benefis is one of Montana’s largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you!
Reviews all submitted Orders (electronically and manual) and perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician’s office and insurance companies. Determines patient estimated financial responsibility determined by insurance.
Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.
Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System’s organization policies and procedures.
Education/License/Experience Requirements:
- High School diploma/GED required
- Healthcare setting required
- Knowledge of medical terminology and health insurance background preferred
- Prior patient registration experience required
- Completes educational requirements for the Call Center Verification and Authorization Representative I
- The Call Center Verification and Auth representative I will be proficient with one insurance payer and will work a minimum of 25-30 accounts per day for both the Imaging and CVS departments.
- Experience with ICD-10 coding, outpatient admission procedures and benefit authorization
- Experience with Commercial, Medicare/Medicaid, COBRA and HMO/PPO insurance products
