What are the responsibilities and job description for the Data Specialist position at Desert Oasis Healthcare?
Responsible for the timely and accurate input of all patient demographics and maintenance of health insurance information in the Next Gen System and responsible to obtain prior authorization for PPO patients.
- Enter registration forms into the computer system.
- Verify insurance and eligibility.
- Check private insurance eligibility and note in the Chart Notes screen in Next Gen. If unable to verify insurance, call patient or employer.
- Answer all inquiries pertaining to insurance, co-payments, deductibles, etc.
- Update Next Gen with patient changes of insurance, address or telephone numbers.
- Send updates to Health Information Services to place in the patient’s chart.
- Contact PPO insurance companies to obtain pre-authorization upon request of primary provider.
- Notify provider and appropriate departments of authorization status.
- Maintain authorization file.
- Advise supervisor of system or process problems and opportunities for improvement.
- Other duties as assigned.
- High School diploma or equivalent (GED).
- Demonstrated knowledge of all job functions in the Billing Department, plus two years related experience. Two years accounts receivable/collections experience.
- Working knowledge of ICD-9 and CPT-4 coding systems. Medical terminology.
- Ability to work with computerized billing system and Windows based programs. 10 key calculator by touch.
- Interacts effectively with customers.
- Detail oriented.
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