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  • Charleston, WV
  • Posted: March 12, 2020
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  • Basic Description
    • Oversees the process of Insurance Verification, identifying patient responsibility and estimates in regards to payments (co-pays, deductible & co-insurance), and that pre-authorizations are obtained prior to the appointment date. Also, completing Insurance notice of admission for inpatient admissions with proper documentation in the patient record.
  • Specialized Knowledge, Experience and Skills
    (Education, Experience and Skills required to fully perform the requirements of the position)
    • Degree / Education
      • High School Diploma/GED
    • Level of Experience
      • Knowledge of medical terminology required
      • Experience in insurance procedures in a health care setting required
      • Working knowledge of managed care environment, procedures, and criteria
      • Knowledge of CPT, HCPCS, and some knowledge of ICD-10 codes preferred
      • 1 year experience with insurance verification or preauthorization preferred
    • Lic./Cert./Reg.
      • All licensure must be current/valid and from the state of West Virginia.
    • Typing/Word Processing skills required for this position
    • Computer Skills required for this position
      • Basic PC Skills
      • Operating knowledge of personal computers and MS Windows applications including Word, Excel, and Outlook
      • Experience with Cerner Millennium preferred
    • Other Required Areas of Knowledge, Skills and Abilities
      • Ability to Self-Motivate
      • Analytical Skills
      • Applies Knowledge to New Situations
      • Community Resource Knowledge
      • Customer Service
      • Decision Making
      • Employee Relations
      • Flexible Schedule
      • Handle Multiple Assignments
      • Judgment
      • Keyboarding
      • Math Simple
      • Organization
      • Possess a High Degree of Accuracy in Work Output
      • Problem Solving
      • Public Speaking
      • Skill in Establishing and Maintaining Effective Internal and External Working Relationships
      • Teamwork
      • Verbal Communication
      • Work with Sensitive and Confidential Information
      • Written Communication
    • Acceptable SUBSTITUTIONS (if any)
      • 2 years healthcare or similar work experience
    • Patient Group Knowledge (Only applies to positions with direct patient contact)
      • The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients.
    • Assigns work to or supervises others
    • Competency Statement
      • Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.
    • Minimum Requirement Comments
  • Physical Requirements
    (Essential physical requirements)
      • Vision
      • Hand Coordination
      • Arm Coordination
      • Hearing
      • Kneeling
      • Squatting
      • Crouching/Stooping
      • Twist Upper Body
    • Activities Requiring Time
      • Sitting - 7 hr
      • Standing - 1 hr
      • Walking - 2 hr
    • Lifting
      • Up to 10 lbs - Frequent
      • 11 to 24 lbs - Frequent
      • 25 to 50 lbs - Often
      • 51 to 75 lbs - Seldom
      • Over 75 lbs - Seldom
    • Pushing
      • 51 to 75 lbs - Often
    • Reaching / Pulling
      • 11 to 24 lbs - Often

Job Information

Req #: 20752-17356