What are the responsibilities and job description for the Pre-Cert/Benefits Analyst position at Good Samaritan Hospital?
Job Info
Job Summary:
Achieves high standard of billing to best meet Good Samaritan Hospital strategic goals. Ensures highest third party reimbursement for the benefit of the patient.
Must be certified by HBI---Certified patient financial services specialist
Essential Job Duties:
- Makes outgoing calls to insurance companies; utilizes insurance websites for pre-certification, authorization verification, or member eligibilty when available.
- Works with intake to ensure procedures scheduled matches authorization request.
- Determines if client’s insurance is a part of the provider network for highest reimbursement possible.
- Documents appropriately in-coming pre-authorizations from insurance companies/maintains monthly reports to obtain on-going authorizations for future services as needed for clients.
- Communicates via telephone or written correspondence with providers and clinical staff to provide additional medical information.
- Communicates via telephone or written correspondence with providers and clinical staff to provide additional medical information.
- Reviews accounts receivables information and notifies Patient Accounts Manager of potential denial of payment issues.
- Alerts clinical staff of services scheduled for which no authorization is in place.
Secondary Job Duties That May be Reassigned:
- Gets and distributes incoming, outgoing and inter office mail.
- Answers and directs phone calls.
- Updates job knowledge by participating in educational opportunities.
- Contributes to team effort by completing other duties as assigned.
Job Specifications:
- Education: Associate Degree in social work, nursing or business or related field.
- Experience: Knowledge of software applications and administrative and clerical procedures. Proficient in spelling, grammar, punctuation, and other language skills. Proficient in keyboarding, data entry and business writing.
Posting Date: 2025-01-28T14:11:10 00:00
Job Schedule: Full time
Job Shift: Day Shift
Locations: 520 S 7th St Vincennes IN 47591
