Massachusetts Eye and Ear Infirmary PRE-REGISTRATION SPECIALIST in Quincy, Massachusetts

Description POSITION SUMMARY: Under the direction and supervision, works with patients, physicians, office staff, clinicians and insurance companies to obtain and accurately record patient demographic and insurance information; verify patient insurance eligibility and benefits; and secure and document referrals and authorizations.

ESSENTIAL FUNCTIONS: 1. Delivers outstanding customer service while making a high volume of incoming calls. 2. Ensures the integrity of the data in the computer system with respect to patient demographic, insurance information and referral or authorization entry. 3. Verifies patient insurance eligibility, benefit levels and referral/authorization accuracy for maximum reimbursement. 4. Applies knowledge of payor requirements and guidelines to ensure effective reimbursement; specifically obtaining and documenting referrals and/or authorizations for all patient appointments. 5. Accurately assesses coordination of benefit information. 6. Collaborates with patient service areas to ensure a positive and effective patient experience. 7. Documents accurate information on all patient accounts to ensure an effective workflow throughout the organization. 8. Serves as a resource for patients and others with questions regarding referrals and authorizations guidelines and requirements. 9. Utilizes Manager to resolve issues/concerns as needed. 10. Attends and participates in departmental meetings. 11. Other duties as assigned.

Requirements EDUCATIONAL AND EXPERIENCE: Requires a professional, service oriented individual with strong organization skills and good judgment. An independent thinker with the ability to multi-task and prioritize daily workload under limited supervision.

Requisition Number: 16-0337

Post Date: 10/12/2016


Department: Referal Unit

Shift: Day

Hours Per Week: 40

City: Quincy

State: MA