Certification / Registration / License
Typically requires 1 year of experience in customer service or clerical/office experience, including answering phones and assisting customers.
Knowledge / Skills / Abilities
Demonstrated ability to identify and understand issues and problems. Examines data and draws logical conclusions based on information available.
Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations and comply with updates on insurance pre-certification requirements.
Mathematical aptitude, effective communication skills and critical thinking skills.
Understanding of basic human anatomy, medical terminology and procedures for application in the patient referral/pre-certification/authorization processes.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
Ability to speak effectively to customers or employees of organization, maintaining a pleasant, professional demeanor.
Ability to handle sensitive and confidential information according to internal policies.
Ability to problem solve in a high profile and high stress area, working independently to set and meet deadlines and prioritize work.
Demonstrated technical proficiency including experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, Microsoft Office, Internet Explorer and phone technology.
Physical Requirements and Working Conditions
Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday.
Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.
Must be able to push/pull up to 50 lbs. with assistance.
Must have functional speech and hearing.
Must be able to use hands with fine motor skills for keyboard data entry.
Exposed to a normal office environment.
Operates all equipment necessary to perform the job.
Must be able to work a flexible schedule to support the needs of the department