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Claims Audit Supervisor FT Days
Claims Audit Supervisor FT DaysPIH Health • Nashville, TN, United States
Claims Audit Supervisor FT Days

Claims Audit Supervisor FT Days

PIH Health • Nashville, TN, United States
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JOB SUMMARY Under the direction of the Business Office Manager, is responsible for covering any aspect of the business office necessary. Many duties includes scheduling, insurance verification, financial counseling, patient calls and chart building. Successful candidate will possess outstanding multi tasking abilities, communication and teamwork as well as the ability to keep up in a fast paced working environment. The successful candidate should be able to demonstrate previous successful / positive customer service encounters or programs. DUTIES AND RESPONSIBILITIES :

  • Verifies insurance prior to patient's arrival, to include "Add On's and Direct Admits"
  • Obtains pre-certification from insurance companies for procedures that require pre-certification.
  • Requests office notes from referring physician if needed for Authorization.
  • Calculating and Informing patients of amount due
  • Communicating with the Dr. office's
  • Ensures all required forms are placed in designated areas of the patients chart
  • Daily preparation of charts for next day's surgeries within required deadline (NO LESS than 3 days prior to surgery, for all cases scheduled four days or more in advance of surgery date)
  • Preparation of medical consents for each chart prepared
  • Labeling necessary documents and adding physician orders
  • Out-bound collection calls to patients regarding their medical invoice / bill answering questions and setting up payment / payment plans.
  • Utilization of various collection strategies and methodologies to contact patients in order to negotiate payment in full or payment arrangements on debt within federal, state and client collection guidelines and laws.
  • Payment posting as assigned.
  • Other duties as assigned BENEFITS Our competitive salary and benefits package includes medical and dental insurance, 401(k), paid time off and life insurance.

Required Skills

EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS :

  • Minimum 1 year of hospital or medical office experience required.
  • Must be able to communicate verbally and non-verbally in a professional way.
  • Ability to use time wisely in preparing work area to meet high-paced demand.
  • Show a genuine desire to work and improve the facility as a whole.
  • Extreme multi- tasker
  • Medical terminology.
  • Must demonstrate excellent phone etiquette and exceptional customer service skills.
  • Required Experience

    Qualifications :

    EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS :

  • Minimum 1 year of hospital or medical office experience required.
  • Must be able to communicate verbally and non-verbally in a professional way.
  • Ability to use time wisely in preparing work area to meet high-paced demand.
  • Show a genuine desire to work and improve the facility as a whole.
  • Extreme multi- tasker
  • Medical terminology.
  • Must demonstrate excellent phone etiquette and exceptional customer service skills.
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    Audit Supervisor • Nashville, TN, United States

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