Revenue Cycle Admissions Associate - Morris, United States - St. Francis Health Services of Morris, Inc.

    St. Francis Health Services of Morris, Inc.
    St. Francis Health Services of Morris, Inc. Morris, United States

    1 month ago

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    Description
    Position Details
    • Employment Status: Full-Time
    • Shift: Day
    Benefits of working at SFHS include:
    • Generous personal leave time
    • 100% paid premium for our single health insurance high deductible health plan
    • $150/month employer contribution into a health savings account
    • 5% employer-sponsored 401(a) retirement plan
    • The opportunity to contribute to a voluntary 403(b) tax deferred annuity and/or an after-tax Roth deferral plan
    • Plus, more Save
    St. Francis Health Services has a great opportunity as aRevenue Cycle Admissions Associate A remote or hybrid work environment will be considered for the right candidate.

    Job Summary:

    The primary purpose of the Revenue Cycle AdmissionsAssociate is to verify resident insurance eligibility and coverage, as well assecuring third party payer authorization for services to be rendered. Job duties include:
    • Works closely with the admissions team at eachof the senior nursing facilities and verifies all necessary data elementsneeded for an authorization are available
    • Reviews all insurance information promptly anddetermines if prior authorization is required
    • Completes accurate and timely payerauthorization requests as needed
    • Clearly communicates information and data withapplicable parties pertaining to insuranceverification and authorization
    • Escalates financial clearance risks asappropriate
    • Provides clear, concise documents for financialclearance work according to established guidelines
    • Provides cross-coverage and training, whenneeded, for other team members
    • Reviews and meets ongoing competencyrequirements of the role to support the skills, knowledge, and abilities toperform, within scope, role specific functions
    • Follows-up to ensure all authorizations anddocumentation have been submitted
    • Acts as a key payer information into PracticeManagement System
    Education/Experience Requirements:
    • Minimumof 2 years of experience in insurance verification in a healthcare setting,preferred
    • Experienceworking with insurance companies and knowledge of different types of coverageand policies
    • Knowledgeof ICD10 preferred
    • Workingknowledge in Microsoft Office (Word, Excel and Outlook)
    • Workingknowledge of standard office equipment (copiers, scanners, calculators)
    • Follow stateregulations and guidelines