Patient Services Specialist Insurance Authorizations

Scripps Health – San Diego, CA – demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. – Assisting patients with HPE eligibility, discussing payment arrangement options including financial… Qualifications: – 2 years of experience in customer service or healthcare/medical office environment. – Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG’s, Medical ICD9/ICD10 codes and CPT/HCPC Code Required Qualifications: – Registration in a hospital setting – Obtaining and processing authorizations in inpatient/outpatient setting – Must be able to demonstrate proficiency of computer applications, excellent…

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