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Steadfast Networks
Steadfast Networks

60 Steadfast Jobs Hiring Near You

The One 23 Group

Systems Administrator

Herndon, VA · On-site

Our dedication lies in fostering a people-first culture, underpinned by steadfast ethical ... Experience supporting classified DoD networks (SIPRNet / TS/SCI environments) * Experience ...

Sofidel

Electrical Control Technician

Duncan, SC · On-site

With a steadfast commitment to sustainability, innovation, and safety, we deliver high-quality ... Work with VFDs, motor controls, and industrial networks. * Optimize control system performance for ...

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Insurance Verifier

WILSON COUNTY MEMORIAL HOSPITAL DISTRICT

Floresville, TX • On-site

Other

Posted 28 days ago

Job description

Summary Works directly with clinics to identify and secure payer referral requirements for maximum reimbursement

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Work requests from a queue or email communication from clinic staff or other source
  • Confirm validity of any referrals already on file
  • Submit request for needed referrals to appropriate authority or PCP
  • Follow up to secure authorization prior to patient appointment to ensure reimbursement
  • Provide requested clinical information to PCP to support referral
  • Advise clinic staff of any anticipated delays for authorization
  • Secure referrals and enter them in the patient's electronic record

Education and/or Experience

  • Strong, working knowledge of insurance payers to include government, commercial and managed care products
  • Ability to establish a good rapport with outside providers and third party payers
  • Resourceful, steadfast attitude to make sure that patient needs are met timely
  • Comfortable with navigating through the payer websites to secure appropriate benefits and authorization requirements
  • Excellent verbal and oral communication skills
  • Excellent customer service skills are expected with internal and external customers

Other Qualifications:

  • Must be able to multitask and demonstrate excellent organizational skills
  • Understanding of insurance contracts and networks essential
  • Extensive coding and medical terminology preferred
  • Computer literate, knowledge of, or ability to learn multiple clinic/hospital software required.

Education and/or Experience

  • Strong, working knowledge of insurance payers to include government, commercial and managed care products
  • Ability to establish a good rapport with outside providers and third party payers
  • Resourceful, steadfast attitude to make sure that patient needs are met timely
  • Comfortable with navigating through the payer websites to secure appropriate benefits and authorization requirements
  • Excellent verbal and oral communication skills
  • Excellent customer service skills are expected with internal and external customers

Other Qualifications:

  • Must be able to multitask and demonstrate excellent organizational skills
  • Understanding of insurance contracts and networks essential
  • Extensive coding and medical terminology preferred
  • Computer literate, knowledge of, or ability to learn multiple clinic/hospital software required.

Apply