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Insurance Verifications and Pre-Authorization Specialist (40 hrs, Days, Mon-Fri)

Company: CareerLink
Location: Omaha
Posted on: October 16, 2020

Job Description:

JOB DESCRIPTION -- Job Title:-- Insurance Verifications and Pre-Authorization Specialist - Omaha--------------Job Code: 880354-------- Status:-- Non-exempt---------------------------- At Madonna, we combine heartfelt hospitality with incomparable innovation and education. Our clinical expertise, world-class research and state of the art equipment empower us to help all patients, even those whose diagnoses pose the most complex challenges.-- Our investment in the exceptional talent, groundbreaking technology and progressive treatments is changing the face of rehabilitation! -- Other hospitals treat patients, we change lives! Madonna Miracles and breakthrough moments happen every day; when patients who could not previously walk or speak independently, joyfully celebrate when they hear: --??Now You Can!--?-- -- We are excited about the opportunity to partner with individuals who wish to enter health care! Now is the opportunity to be a part of something meaningful! DEPARTMENT FUNCTION/JOB OVERVIEW -- Responsible for verifying, recording, and revising financial payer information and reviewing patient demographic information for TherapyPlus Omaha.-- Responsible for obtaining and monitoring authorizations as needed for third party payment.-- Responsible for providing and when necessary, explaining patient--??s insurance benefits and securing an acknowledgement of patient--??s financial responsibility related to services rendered. Other responsibilities include typing, word processing, faxing, and photocopying.-- Responsible for quality service delivery and internal/external customer relations for the department and Madonna as a whole, including upholding the mission and values for the department and facility. -- ESSENTIAL FUNCTIONS -- (INFORMATION) Responsible for obtaining pre-authorizations, referrals and continual authorizations for patients receiving outpatient rehabilitation when necessary.--Works with clinicians to request extensions from insurance companies when necessary.Is accountable for validating new patient insurance information entered by scheduling staff.Responsible for verification of any insurance information that has not been completed upon admission.Responsible for obtaining verification of insurance benefits and completion of insurance benefit forms.Responsible for obtaining detail information to facilitate payment such as third party administrator and case manager requests.Responsible for periodically performing job duties of OP Service Specialist as outlines in that job description.-- --(PEOPLE) Responsible for communication with insurance workers compensation case managers, employers and third party administrators to ensure the best benefits and coverage possible for patients.Works with outpatient service specialists to ensure that patients have their insurance benefits communicated, explains and secures an acknowledgement of patient--??s financial responsibility related to services rendered.Responsible for communicating with clinicians about patient benefits:Ensuring that the insurance verifications are documented and put into the patient's chart for the clinicians to read.Follow up to additional authorizations and/or physician referrals.Communicates with Patient Financial Services for understanding insurance company procedures and changes; and loading procedures of Affinity; and for resolution of prob

Keywords: CareerLink, Omaha , Insurance Verifications and Pre-Authorization Specialist (40 hrs, Days, Mon-Fri), Human Resources , Omaha, Nebraska

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Insurance Verifications and Pre-Authorization Specialist (40 hrs, Days, Mon-Fri)
Description: JOB DESCRIPTION -- Job Title:-- Insurance Verifications and Pre-Authorization Specialist - Omaha--------------Job Code: 880354-------- Status:-- Non-exempt---------------------------- At Madonna, we combine (more...)
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