Scope: The Finance Coordinator works directly with patients to ensure full clearance prior to receiving care, through pre-registration, financial clearance, authorization, referral validation, and pre-serviceability estimations and collections. In addition to submitting claims and working with insurers on a day-to-day basis, you will have the opportunity to interact with patients and answer any questions they might have about the finance process. The position reports to the Revenue Cycle Director.Job Responsibilities Conduct pre-registration functions, validate patient demographic data, identify, and verify medical benefits, accurate plan codes and COB orders. Correct and update all necessary data to assure timely and accurate bill submission. Maintain accountability for the accuracy of data collected in e-IVF.Verify patient insurance information via telephone, online resources, or electronic verification systems and identify authorization/referral requirements.Standard: Follows up on submitted claims, monitors unpaid claims, and resubmits claims with appropriate corrections and documentation within 48 hours of denial or appeals.Counsels patients regarding insurance benefits by explaining financial responsibilities for services received, payment options, and collections procedures to patients and parties responsible for payment.Posting payments both electronically and manually, maintaining accurate medical billing records, and documenting revenue from patient payments and insurance reimbursements.Contact insurance carriers or other sources to obtain prior authorizations; obtains pre-certification and/or authorization prior to services.Identify and communicate to the patient all financial responsibilities prior to the start of their service.Maintains work operations by following policies and procedures, and reporting compliance issuesCollect on delinquent accounts, make payment arrangements, track payments and follow up with patients, as necessary.Standard: Work with patients to set up payment plans and manage collection accounts as they are processed.Other duties as indicated by management.QualificationsBachelor’s Degree and 1 year of experiencePrior experience obtaining insurance prior authorizations/pre-determinations/pre-certifications and ICD-10 experience requiredPrior experience obtaining with claim submissions (electronically and manually) preferred.Insurance prior authorizations/pre-determinations/pre-certifications and ICD-10 experience requiredStrong technical/computer/documentations skillsSelf-starter with the ability to prioritize daily workload.Ability to produce financial reports.Exceptional verbal and written interpersonal and communication skillsProficient with Microsoft Office applications including Word and ExcelStrong ability to process data and provide accurate report to management.Possess strong interpersonal skills for developing good relationship with patients and staff effectively.Job Type: Full-timePay: $26.00 – $30.00 per hourBenefits:
Physical Setting:
Schedule:
COVID-19 considerations:
All candidates and GNF employees must be fully vaccinated and must show proof of vaccination.Education:
Experience:
Work Location: One location
Recruiter Contact: Lorenzo Ramirez | [email protected] | (559) 909-4552 Are you an experienced leader with a passion for driving success...
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