<ul> <li>Area of Interest: Patient Services </li><li>FTE/Hours per pay period: 0.8 </li><li>Department: Patient Access </li><li>Shift: M-F </li><li>Job ID: 168267 </li></ul> <p>Overview</p> <p>Enviromental Services Work</p> <p>Full-Time; 32 hours per week; M-F Days</p> <p>Obtains insurance eligibility, benefits, authorizations, and pre-certifications for scheduled and non-scheduled visits. Updates demographic and insurance information in system as needed. Primary documentation source for access and billing staff. Resolve accounts on work queues. Interacts in a customer-focused and compassionate manner to ensure patients and their representatives needs are met.</p> <p>Why UnityPoint Health?</p> <p>At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.</p> <p>Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in.? Here are just a few:</p> <ul> <li>Expect paid time off, parental leave, 401K matching and an employee recognition program. </li><li>Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. </li><li>Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. </li></ul> <p>With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.</p> <p>And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.</p> <p>Find a fulfilling career and make a difference with UnityPoint Health.</p> <p>Responsibilities</p> <ul> <li>Work with providers to assure that CPT and ICD-10 code is correct for procedure ordered and is authorized when necessary. </li><li>Completes eligibility check and obtain benefits though electronic means or via phone contact with insurance carriers or other agencies and when necessary/requested provide initial clinical documentation. </li><li>Initiates pre-certification process with physicians, PHO sites or insurance companies and obtains pre-cert/authorization numbers. </li><li>Perform follow-up calls as needed until verification/pre-certification process is complete. </li><li>Thoroughly documents information and actions in all appropriate computer systems. </li><li>Notifies and inform Utilization Review staff of authorization information to insure timely concurrent review. </li><li>Validates or update insurance codes and priority for billing accuracy. </li><li>Works with insurance companies to obtain retroactive authorization when not obtained at time of service. </li><li>Work with billing team to provide education to patient access team regarding gaps or recurring issues and denials related to authorizations </li><li>Complete patient scheduling </li><li>Perform administrative tasks and ensure accurate data entry to facilitate timely and efficient care coordination. </li></ul> <p>Qualifications</p> <p>Required:</p> <ul> <li>High school diploma or equivalent </li><li>Ability to demonstrate strong customer service skills. </li><li>Ability to effectively enter information into a variety of computer programs. </li><li>Ability to understand and apply guidelines, policies and procedures. </li><li>Ability to interact effectively with physicians, health care team members, individuals and members of their support systems. </li></ul> <p>Preferred:</p> <ul> <li>Previous medical office experience preferred. </li><li>Previous experience with an electronic health record or medical office software preferred. </li><li>Knowledge of medical terminology, anatomy and physiology. </li></ul>