Financial Advocate-Radiation Oncology-Methodist
US-IA-Des Moines
careers
Req #: 179874
Type: Full Time Benefits
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Overview: Enters facility and physician charges. Verifies appropriateness and completeness of charge capture prior to releasing charges for billing. Ensures that pre-certification/authorizations and insurance benefits are obtained and documented within designated time frames. Successful fulfillment of these responsibilities will ensure that patient financial needs are met and hospital claims are reimbursed to the fullest extent. Updates pre-certification requirements when the level of care has been changed to ensure pre-certification requirements are met. Is responsible for complete and accurate registration and preregistration of patients. Responsibilities: * Posts daily physician and facility charges. * Reviews charges for completeness. * Reconciles charges to daily log. * Builds patient accounts and schedules in the system as needed to generate charges. * Reviews basic demographics and insurance information. * Reviews/ corrects billing charges * Assigns procedure codes on charge tickets. * Account and aging reports worked in a timely manner to determine liability. * Answer billing questions in a prompt and efficient manner. * Educates and advises staff, physicians and providers on correct coding and compliance. * Demonstrates initiative to improve quality and customer service by striving to exceed customer expectations. * Interviews patient / family member to obtain accurate demographic and financial data. * Provides financial assistance applications based on patient needs. Provides patients with price estimates for treatments. * Obtains signatures on all forms pertinent to the patient's current visit from the patient or family member who has authority to sign on behalf of the patient. Qualifications: EDUCATION: High school graduate or GED equivalent is required. Medical Terminology course (available in Net Learning or of comparable content) completion required or demonstration of knowledge within six months of hire. EXPERIENCE: Must have experience using computer based software including Micro Soft Office and Excel. Accurate data entry with numbers, letters and the ability to spell medical terms correctly is required.
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