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Insurance Pre-Verification Specialist

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Green Bay, WI
Ongoing through Thursday, October 25, 2012, 8am

Please apply directly to BayCare's Website

Company: BayCare Clinic
Contact: Rachel Ronsman
Job Description: Using appropriate methods, obtains prior authorizations for all diagnostic studies, procedures, surgeries, and testing as required by each particular insurance company including Workman’s Compensation. Verifies patient status through use of websites (i.e. WHIN) and phone calls to insurance carriers as necessary. Reviews specific coverage policies for individual insurance companies to ensure that requirements are met. Updates patient-specific insurance information as necessary in MYSIS. Assists clinic staff and patients who have miscellaneous insurance information questions. Documents appropriate and accurate information in MYSIS Comments section. Documents prior authorizations in MYSIS. Utilize SecuReach/MYSIS to document and communication authorizations, results, etc. Travel to satellite locations 1-2 days per week. Respects and maintains confidentiality. Works in a safe, compliant and ethical manner at all times., When necessary, develops appropriate policies and procedures to correct problem areas. When policy/procedure is approved, follows the format and helps educate others.
Job Industry: Healthcare
Employee Type: Full-Time
Manages Others: No
Travel Required: None
Base Pay: based on experience.
Education Required: HS Diploma or equivalent. AAS in Health Care Business or combination of education and experience preferred.
Experience Required: Experience in insurance and/or healthcare industry preferred. Excellent organizational, interpersonal, and communication skills are necessary. Strong computer skills required.
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