Patient Intake Specialist Sr.
Pay: $23-26 / hour
Hours: 32 HPW
- Monday, Tuesday, Thursday 9:00am – 4:30pm
- Wednesday, Friday 10:00am – 2:00pm
Location: Fall River, MA
Job Description:
- Prior Authorization / insurance experience in a healthcare setting required
- Billing and Coding knowledge strongly preferred
- Perform wide variety of duties to secure optimal; revenue for all services
- Determine patient liability prior to service by creating estimate based on individual payer, notifies patient of their potential liability
- Initiate contact with patients, clinicians, and third party payers to obtain pre-certification and authorization for evaluations and diagnostic tests
- Use critical thinking skills to ensure CPT codes are documented and authorized for the appropriate service
- Navigate multiple payer portals to determine requirements for authorization and submit electronic requests
- Follow up with payer denials by researching clinical data to support appeal
- Verify coverage and initiate authorizations for new evaluations and treatments
Education and/or Experience Requirements:
- Equal to completion of four years of high school plus additional specialized courses or training, secretarial school, diploma, or medical office certification.
- Duties require knowledge of medical terminology.
- Proficient keyboarding skills are essential.
- Must possess strong reasoning and critical thinking skills.
- Proficient in use of software applications such as e-mail, Word, Excel, EHR.
- Exceptional customer service skills are required.
- Associates degree preferred.