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Patient Engagement Specialist Code
- Accurately collect and enter patient information into the system.
- Verify patient demographics insurance coverage and eligibility.
- Ensure compliance with registration policies and procedures.
- Provide excellent customer service to patients during the registration process.
- Collaborate with other departments to resolve any registrationrelated issues.
Patient Payments and Collections:- Collect patient copayments coinsurance and deductibles at the time of service or through followup communications.
- Send out monthly statements to patients detailing their outstanding balances and payment options.
- Conduct patient collection calls to remind and assist patients in resolving their financial obligations.
- Assist patients in setting up payment plans and provide guidance on available payment methods.
- Ensure patient payment information is securely processed through systems like Stripe.
- Maintain accurate and uptodate records of patient payments and collections.
Eligibility Verification:- Verify insurance coverage and benefits for patients.
- Ensure accurate and complete eligibility verification.
- Identify any preauthorization requirements and assist in obtaining them.
- Communicate insurancerelated information to patients and other departments.
- Work closely with insurance companies to resolve eligibility issues or discrepancies.
PreAuthorization Management:- Review medical documentation and treatment plans to determine preauthorization requirements.
- Submit preauthorization requests to insurance companies.
- Follow up on pending or denied preauthorizations and work to resolve them.
- Maintain accurate records of preauthorization status and documentation.
- Collaborate with healthcare providers and insurance companies to ensure timely approvals.
Patient Communication and Support:- Serve as a point of contact for patients regarding registration insurance and preauthorization inquiries.
- Provide clear and concise explanations of processes requirements and next steps to patients.
- Address patient concerns questions and complaints promptly and professionally.
- Collaborate with other departments to ensure coordinated and efficient patient care.
Process Improvement:- Identify opportunities to streamline and enhance patient engagement processes.
- Propose and implement improvements to optimize registration insurance verification and preauthorization workflows.
- Collaborate with crossfunctional teams to enhance the overall patient experience.
Requirements
- High school diploma or equivalent; additional healthcarerelated certifications or education is a plus.
- 23 years of previous experience in patient registration eligibility verification or preauthorization.
- Knowledge of medical terminology insurance plans and billing processes.
- Strong communication and interpersonal skills.
- Attention to detail and accuracy in data entry and documentation.
- Ability to handle confidential patient information with discretion.
- Proficient computer skills including experience with electronic medical records and registration systems.
- Ability to work independently and collaboratively in a fastpaced environment.
- Must have Fiber Optic internet with at least 25 Mbps bandwidth
- Must have a backup desktop or laptop with the latest OS
- Must be able to work following US CST Shifting
- Must be amenable to reporting to our BGC office 4x a week
Benefits
WHAT WE OFFER:Great Place to WorkCertified CompanyPremium HMOHolistic employee experienceWorkfromhome and hybrid work setupRewards and incentivesMonthly engagement activitiesCareer advancement opportunitiesPaid referral programHigh school diploma or equivalent; additional healthcare-related certifications or education is a plus. 2-3 years of previous experience in patient registration, eligibility verification, or pre-authorization. Knowledge of medical terminology, insurance plans, and billing processes. Strong communication and interpersonal skills. Attention to detail and accuracy in data entry and documentation. Ability to handle confidential patient information with discretion. Proficient computer skills, including experience with electronic medical records and registration systems. Ability to work independently and collaboratively in a fast-paced environment. Must have Fiber Optic internet with at least 25 Mbps bandwidth Must have a backup desktop or laptop with the latest OS Must be able to work following US CST Shifting Must be amenable to reporting to our BGC office 4x a week
- 23 years of previous experience in patient registration eligibility verification or preauthorization.
- Propose and implement improvements to optimize registration insurance verification and preauthorization workflows.
- Provide clear and concise explanations of processes requirements and next steps to patients.
- Submit preauthorization requests to insurance companies.
- Ensure accurate and complete eligibility verification.
- Send out monthly statements to patients detailing their outstanding balances and payment options.
- Verify patient demographics insurance coverage and eligibility.
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