Insurance Authorization Jobs in Delaware (NOW HIRING)

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Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!
Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital
Status: Full Time 80 Hours
Shift: Days
SALARY RANGE: 17.40 - 26.10HOURLY
General Summary:
The Registrar collects accurate demographic and financial information critical to the success of the hospital's reimbursement, while maintaining compliance with applicable regulatory requirements including, but not limited to: CMS, Joint Commission, HIPAA and EMTALA. Must have working knowledge of medical insurance and be able to articulate information in a clear and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel and physicians. Orders tests and assigns the preliminary procedure codes. May also assist the supervisor with reports and other designated projects or assignments. EMTALA = Emergency Medical Treatment & Labor Act
Responsibilities:
1. Identifies the patient using two factor identification. Complies with EMTALA regulation when creating the quick registration account.
2. Timely and precise completion of each registration, following all department processes and procedures. Must verify that all demographic and insurance information is accurate; utilizes Epic, payer websites or telephone for insurance verification. . Completes assigned work queues to resolve errors and communicates error trends to management. Obtain current copies of insurance cards and photo identification. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies. Advanced Beneficiary process must be completed accurately when appropriate based on pre-established guidelines.
3. Ensure all pre-authorizations are obtained prior to service, as applicable. Notify supervisor of any insurance authorization issues.
4. Ensure all diagnosis codes and procedure codes are entered correctly.
5. Perform point of service collections. Responsible for meeting monthly collection goals, having financial conversations with patients as it relates to their copays, deductibles and coinsurance amounts. Follows cash drawer balancing procedure, as appropriate, reconciles payments against deposit totals.
6. Scheduling (as applicable) - may need to schedule appointments, following procedures and protocols. Assist patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits.
7. Patient flow (as applicable) - maintain efficient patient flow in the registration and check-in process. Accurately complete reception duties in accordance with policies.
8. Completes the reschedule work queue, new patient referral workque, outgoing referrals and testing.
9. Emergency Departments Follows protocol for Trauma and Anonymous patient workflows. Follows the Mark for Merge process when duplicate accounts are identified or created at the time of registration. Lead shift change communication properly handing off in process registrations. Communicates status of Trauma and Anonymous patient registrations
10. Responds to disaster and mass casualty situations following disaster procedures, including the registration process for unidentified patients, using the patient tracking log and registering patients with disaster tags. At Smyrna, perform modified duties of the ED Unit Secretary communicating alerts to the respective providers and transportation services
11. All other duties as assigned within the scope and range of job responsibilities.
Required Education, Credential(s) and Experience:

• Education: High School Diploma or GED
  ;
• Credential(s): None Required
  ;
• Experience: Required: One year in a customer service role. Preferred: Previous experience in a medical office setting.

Preferred Education, Credential(s) and Experience:

• Education: Associate Degree
  Associate Degree
  Business
  Related field
• Credential(s): Certified Healthcare Access Associate
• Experience:

To view a full list of all open position at Bayhealth, please visit:
https://apply.bayhealth.org/join/