Benefits Specialist

Employee Type Full Time Manage Others No Description We are seeking a detail-oriented Gastroenterology Benefits Specialist to join our team! To learn more about PPCP, visit Offer 401K with generous company match Short Term and Long Term Disability Offered Position Responsibilities Obtain from insurance carrier the following for every procedure ordered: Authorization, Pre-certification, Copay, Deductible, out of pocket expense, network eligibility for the facility and Provider. Provide insurance carrier and clinical documentation required to get procedure approved for consideration Contact patient and review information obtained from insurance carrier. Document all information in the patient’s chart in a telephone encounter. Collect from the patient any copay and /or deductible that is due prior to their procedure date. Offer payment plans to patients that are unable to pay in full the balance owed. Set up payment plans when applicable. Have benefits cleared 21 days prior to the procedure. Work on STAT / Urgent procedures scheduled and obtain authorization. Communicate with Provider and Facility if there are any issues with coverage or benefits. Knowledge of ICD 10 and CPT codes. Can distinguish if an ICD 10 code is applicable to a CPT code ordered. Provides training and education to new hires and current employees in the department. Other duties as assigned. Requirements Education: High School Diploma or GED (required) Experience : Minimum of 2 years’ experience in medical setting (preferred) Summary Responsible for performing a variety of duties in a Gastroenterology Specialty office. Involved in the administrative areas including handling clerical, environmental, and organizational tasks. Provides information to patients so they may fully utilize and benefit from the administrative services of a Benefit Specialist I. #J-18808-Ljbffr DeKalb Health