Shift: FT days, remote
Job Summary
Serves as the primary contact for community referral sources. Processes referrals received. Verifies insurance, and ensures reimbursement criteria are met for prescribed items and services. Creates clean claims in an effort to streamline cash flow for the company. Confirms all deliveries of equipment and/or services in the billing system monthly.
Essential Functions
- Educates patients on the proper use of equipment and/or services offered.
- Verifies primary payers for coverage criteria and communicates any financial obligation to the customer.
- Obtains initial pre-certification or authorization for prescribed equipment and/or services as dictated by patient's insurance.
- Researches qualifying reimbursement data in effort to create initial clean claims for third party payers.
- Confirms all deliveries of equipment and/or services in the billing system monthly.
Physical Requirements
Work requires long periods of sitting and manual dexterity.
Education, Experience and Certifications
High School Diploma or GED required. 2 years' experience in a medical retail, medical office setting or equivalent combination of training, education, and experience.
Atrium Health is one of the nation’s leading healthcare organizations, connecting patients with on-demand care, world-class specialists and the region’s largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care.
We’ve been serving our community since 1940, when we opened our doors as Charlotte Memorial Hospital. Since then, our network has grown to include more than 40 hospitals and 900 care locations ranging from doctors’ offices to behavioral health centers to nursing homes.
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