LeominsterRecruiter Since 2001
the smart solution for Leominster jobs

Patient benefits Specialist (per Diem)

Company: Cape Cod Healthcare Inc.
Location: Plymouth
Posted on: May 27, 2019

Job Description:

* Prior to a patient's first visit, verify insurance coverage and benefits including co-payments and deductibles.* Verify insurance coverage and benefits on a daily basis through Recipient Eligibility Verifications Systems and various payor websites and/or via telephone.* Communicate with patients regarding charges that may be in question including copayments and deductibles or refer them to Patient Financial Services for further questions.* Assist in Prior Authorizations, verify the accuracy of demographic and payor information. Notify admissions, scheduling and other related departments regarding concerns and corrections.* Obtain initial and ongoing authorizations for outpatient visits, maintain tracking system, notify providers when continued authorizations are due and reapply as required. Follow up with insurance carriers to make sure that authorizations have been completed.* Work closely with support staff to complete daily charge/capture reconciliation.* Receive Explanation of Benefits and Authorizations and enter into the system as required.* Use CPT, DSM-V, HCPC, and ICD 10 codes to enter daily charges into the system and post payments as needed.* Work closely with Psychiatric Financial Manager to develop systems to improve revenue cycle management.* Audit daily reports that track daily billing rejections and discharge accounts in order to reconcile deficiencies.* Keep current on new policies and procedures of third party payors, hospital procedures and any insurance updates in order to educate providers and staff.* Resolve billing edit errors generated via in-house scrubber reports and claim checks as well as through individual payor editing programs. Resubmit claims where appropriate.* Comply with departmental and organizational policies/procedures including but not limited to, dress code, telephones, cell phones, and computers.* Perform other work related duties as requested/directed by management.Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital's commitment to CARES: compassion, accountability, respect, excellence and service.* Ability to read, write and communicate in English.* High School Diploma or GED.* Ability to add, subtract, multiply and divide accurately, manually and by using a calculator.* Working knowledge and proficiency with Microsoft Office Suite (Word, Excel, Outlook), use of Internet.* Soarian Clinicals and Financials or similar program experience preferred.* One year (within the past 5 years) experience in insurance verification/authorization Payor processes hospital and physician billing requirements; or one year recent (within the past 3 years) comprehensive work with 3rd party billing to include DSM-V diagnosis and CPT procedures.* Mental Health Carve-Out Insurance experience preferred.* ZR

Keywords: Cape Cod Healthcare Inc., Leominster , Patient benefits Specialist (per Diem), Other , Plymouth, Massachusetts

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Bid On Local Roofing Jobs - Reach New Customers In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: East Providence
Posted on: 06/19/2019

At Home Data Entry Specialist
Description: At Home Data Entry Specialist Mommy Jobs Online is seeking professional Data Entry Specialist to perform administrative duties. We are now seeking remote Data Entry Specialist to copy and paste data profile (more...)
Company: Mommy Jobs Online
Location: Pittsfield
Posted on: 06/19/2019

Drive with Lyft - Choose a day, swing, or night shift. With Lyft, you're in charge.
Description: What is Lyft br Lyft matches drivers with passengers who request rides through the Lyft smartphone app. Signing up to br be a Lyft driver is the perfect opportunity for you to set your own schedule (more...)
Company: Lyft
Location: Plymouth
Posted on: 06/19/2019


Product Demonstrator
Description: Part Time Event Specialist ACO br br Are you outgoing and enjoy interacting with people If promoting brand awareness through product demonstration sounds appealing, then our Part Time Job is the (more...)
Company: Advantage Solutions
Location: East Providence
Posted on: 06/19/2019

Customer Support / Fraud Specialist I.
Description: Together we elevate the everyday, creating products and experiences that inspire the individual in all of us. We do more than sell clothes. Were a brand with a heart, a culture of family. We value people (more...)
Company: Mommy Jobs Online
Location: Pittsfield
Posted on: 06/19/2019

Open Positions
Description: Solid 24 year old company is seeking individuals with a desire to help others join our growing team Duties include but not limited to
Company: Shelton Career Center
Location: East Providence
Posted on: 06/19/2019

Get New Contractor Work Today - Preview Leads In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Plymouth
Posted on: 06/19/2019

Data Entry Operator - NOW HIRING - Flexible Hrs.
Description: Data Entry Operator This position is with Mommy Jobs Online, so please visit mommyjobsonline.com to apply and get registered on our site directly We are seeking data entry operators
Company: Mommy Jobs Online
Location: Pittsfield
Posted on: 06/19/2019

Food Delivery Partner - Weekly Pay
Description: Deliver with Uber. Earn on your schedule.Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends-it's up to you.Earn Good Money. You'll earn by bringing people (more...)
Company: Uber Eats
Location: Plymouth
Posted on: 06/19/2019

Get New Remodeling Work Today - Preview Leads In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Plymouth
Posted on: 06/19/2019

Log In or Create An Account

Get the latest Massachusetts jobs by following @recnetMA on Twitter!

Leominster RSS job feeds