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Cape Cod Healthcare, Inc. Jr Insurance Benefits Analyst in Hyannis, Massachusetts

To financially clear all scheduled patients within 48 hours of their office visit &/or procedure. Resolve issues with accounts due to errors with authorizations, registration & eligibility. The job responsibilities include working effectively with the interdisciplinary team of Physician Offices, Insurance Companies, & CCHC Revenue Cycle to assure the protection & recovery of all revenues associated with services provided by CCHC. Assists with the review, analysis, development, & implementation of Process Improvement changes for the department to improve efficiency & workflow. Description Troubleshoot & evaluate work product of staff, make recommendations to management & assists with implementing changes. Participate with management in strategizing for Process Improvement initiatives to improve cash flow. Attend & participate in management meetings. Assists management on special organizational projects for CCHC. Provide input & feedback for employee evaluations. Work collaboratively with Patient Access Managers, Scheduling Managers, Business Office Managers, Vendors & Customers across the enterprise to ensure that Registrars & Schedulers are fully capable of using technology to properly register our patients. Assists with review of financial clearance & registration procedures & ensure effective communication with physician practices, patients & internal departments. Work with department managers to continuously identify & correct issues identified by reporting. Assist Patient Access Managers with Quality Control assessments of their staff related to eligibility & pre-registration errors. Verifying insurance eligibility using available technologies, payer websites, or by phone contact with third party payers. Working in accordance with required State & Federal regulations & CCHC policies. Contact patients as needed to gather demographic & insurance information, & updates patient information within the EMR as necessary. Ensure correct insurance company name, address, plan, & filing order are recorded in the patient accounting system. Processes outgoing referrals to specialists outlined by the patient\'s insurance plans in a timely manner. Utilize payer websites &/or Epic/Experian to process, obtain & verify insurance referrals. Utilizing the incoming referral work queue will request, obtain & link insurance referral authorizations to upcoming specialty appointments as outlined by the patient?s insurance plan in a timely manner. Track, document & communicate the status of referrals as they move through the referral process, ensuring proper follow-up, documentation & communication when the referral has been completed. Maintain core competency & current knowledge of regulatory payer authorization & eligibility requirements. Obtain & verify authorizations to ensure payment for services provide through CCHC. Work accounts in assigned work queues to resolve billing errors & edits to ensure all claims are filed in a timely manner. Follow-up & work registration/authorization claim denial work queues to identify & take the appropriate action to fix errors for claim resubmission to payers. See complete job description when applying. Qualifications Associate Degree strongly preferred, High School diploma or GED required Minimum of one (1) year experience in a large hospital\'s Revenue Cycle Department with an emphasis on Patient Access & or Scheduling is strongly desired. Experience with large hospital information systems is required, preferably Epic &/or Siemens is preferred. Excellent interpersonal, problem solving & critical thinking skills Excellent PC skills with a strong emphasis on the Outlook suite of products Excellent verbal & written communication skills are required. Medical Terminology knowledge preferred Experience utilizing insurance payer websites preferred. Schedule Details: 40 Hours Per Week, Mon-Fri, 8:30a-4:30p, No Weekends & No Holidays

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