Benefit Verification Specialist

Company: Community Health System
Location: Fort Smith
Posted on: June 21, 2022

Job Description:

Job Description

Summary: The Benefit Verification Specialist - Pre-Registration Specialist position, under the direction of the Pre-Registration Manager, provides professional pre-registration services for our patients, physician's community, and facility representation. This position provides high-quality point of service collections, financial counseling, demographic verification, and insurance review.

Essential Duties and Responsibilities: (List in order of importance or percentage of time spent on the particular responsibility. High to Low)

* Maintain working knowledge of patient estimate portions via estimation tool and perform outreach to patient prior to the scheduled appointment to verify patient demographics and notify the patient of their patient responsibility. (40%)
* Provide professional, accurate, and timely Pre-Registration functions. Provide a high level of quality of customer service while maintaining effective communication with the patients, physician's community, and facility representation. (30%)
* Secure acceptable financial arrangements, as applicable. Should acceptable arrangements not be made, effectively communicating with appropriate facility with required information needed to make an informed decision. Accurately process payments within web based application. (10%)
* Document all account activity, including payment information, in the applicable host system timely and thoroughly. (10%)
* Responsible to maintaining performance standards and ensures the department is operating at peak proficiency and that the established goals are consistently met. (10%)

Qualifications:

Required Education: High School Diploma or Equivalent

Required Experience: 1+ years of medical office or healthcare facility experience

Required License/Registration/Certification: None

Preferred License/Registration/Certification: Certified Professional Coder (CPC)

Reasoning Ability:

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of payer requirements and clinical information.

Computer Skills Required:

To perform this job successfully, an individual should have knowledge of host systems and payor web applications.

Physical Demands:

In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:

The Employee is required to read, review, prepare and analyze written data and figures, using a pc or similar and should possess visual acuity.

The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions.

The Employee is not substantially exposed to adverse environmental conditions and therefore job functions are typically performed under conditions such as those found in general office or administrative work.

Keywords: Community Health System, Fort Smith , Benefit Verification Specialist, Other , Fort Smith, Arkansas