Senior Coordinator - PAVE
New
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Luminis HealthHealthcare Revenue Cycle
Only available in MD, PA, Washington DC, WV, VA, TN, TX, NC, SC, GA, FLFull-TimeSenior
Salary18.55 - 27.83 USD per hour
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Job Details
- Experience
- Minimum three (3+) years of experience in Medical Billing, Hospital Patient Access, or Hospital Business Office
- Required Skills
- Microsoft Office
Requirements
- Minimum 3+ years of experience in Medical Billing, Hospital Patient Access, or Hospital Business Office in an automated setting.
- Knowledge of registration, verification, pre-certification, and scheduling procedures.
- Experience with Medical and Insurance terminology (ICD-10, CPT 4).
- Minimum of 1+ year of demonstrated strong analytical skills.
- Proficiency with Microsoft Office and Outlook.
- Excellent verbal and written communication skills.
- One or more certifications from AAHAM, NAHAM or HFMA required (CRCE, CRCP, CRCS, CHAM, CHAA, CHFP, or CRCR).
- Bachelor’s Degree in Accounting, Finance, Business Administration or Healthcare related field preferred.
- 3+ years of Revenue Cycle Experience in lieu of degree.
Responsibilities
- Initiate pre-authorization requests to payers for procedures requiring approval.
- Communicate with payers, patients, physician offices, and clinical staff.
- Monitor appropriateness and medical necessity for authorization.
- Collect patient demographic and insurance coverage information.
- Advise patients of financial obligations and collect payments.
- Perform quality assurance audits and report findings to leadership.
- Manage scheduling changes due to lack of authorization.
- Ensure documentation of copays, deductibles, and insurance requirements.
- Maintain relationships with clinical partners and utilization review departments.
- Educate providers and clinical staff on prior authorization processes.
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