Concierge Specialist- RSC / Tennessee
Location: Knoxville Tennessee
Description: Health Management Associates is currently interviewing Concierge Specialist- RSC / Tennessee right now, this career will be placed in Tennessee. Further informations about this career opportunity kindly see the descriptions. ESSENTIAL JOB FUNCTIONS:
Coordinates patient orders received from physician offices and internal ancillary departments
Validates/obtains! physician orders for service and completes all required data entry in its entirety daily including account documentation
Verifies insurance eligibility, benefits and preauthorization/precertification/referral guidelines following the 16 components of verification
Ensure all account activity is documented in the computer system timely and thoroughly
Works closely with physician practices to ensure that all orders received are compliant with documentation standards such as a valid signature, date, test, etc
Responsible for maintaining the orders management/facilitator and removing all outdated/invalid orders
Communicates and educates patients and physician practices to ensure compliance with identified payor requirements as needed
Reviews and resolves preauthorization/precertification/referral issues and contacts insurance carriers to verify/validate requirements to ensure accuracy and avoid potential denial
Work! ing knowledge of Medical Necessity protocols for scheduled tes! ts and procedures and notifies physician office of any tests that do not meet necessity guidelines
Responsible for maintaining performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met
Work is performed under tight deadlines
Maintain effective communication with patients, physicians, medical office staff and the HMA facilities and departments
Maintaining current knowledge and understanding of government rules, regulations
Ability to work with technology necessary to complete job effectively. This includes, but is not limited to, SCI, phone technology, PULSE/DAR products, insurance verification / eligibility tools, patient liability estimation tools, and scanning technology
Ability to perform all other duties as assigned or requested
Job Requirements
EDUCATION, SKILLS & EXPERIENCE:
EDUCATION:
High School g! raduate or equivalent
EXPERIENCE, TRAINING, KNOWLEDGE:
Minimum one (1) year scheduling experience in a medical facility, ambulatory surgery facility, or acute-care hospital
Knowledge of CPT, HCPCS, ICD-9 and medical terminology
Excellent interpersonal skills required to communicate with direct staff and internal/external customers
Must possess excellent time management and organizational skills
Demonstrated critical thinking, creativity, problem solving and decision-making skills
Facility
RSC - Tennessee
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Health Management Associates.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Thu, 18 Apr 2013 21:06:49 GMT