Responsible for verifying insurance coverage and estimating patient responsibility for patient’s being admitted for inpatient or outpatient services. Provides the A&R staff with the most accurate data based on the information provided. Duties include, but are not limited to, accessing insurance website to verify insurance benefits, establishing calls in computer system. . KEY RESPONSIBILITIES. Patient Admissions. Pre-verify demographics and insu...
Responsible for verifying insurance coverage and estimating patient responsibility for patient’s being admitted for inpatient or outpatient services. Provides the A&R staff with the most accurate data based on the information provided. Duties include, but are not limited to, accessing insurance website to verify insurance benefits, establishing calls in computer system. . KEY RESPONSIBILITIES. Patient Admissions. Pre-verify demographics and insu...
Responsible for ensuring that all initial authorizations are initiated with appropriate payor, required notes are documented, and the authorization detail is set up in Case Management. The information is subsequently verified in the payor websites where applicable. Review Daily Discharges to ensure that all days are authorized and identify denied days, coordinate with Director of Utilization Review and add to Denial Tracker when appropriate. Moni...
Responsible for ensuring that all initial authorizations are initiated with appropriate payor, required notes are documented, and the authorization detail is set up in Case Management. The information is subsequently verified in the payor websites where applicable. Review Daily Discharges to ensure that all days are authorized and identify denied days, coordinate with Director of Utilization Review and add to Denial Tracker when appropriate. Moni...
The Patient Navigator is responsible for patient coordination of care to outpatient services. Communicates with all disciplines to facilitate seamless continuity of care and recognizes priorities of tasks and responds accordingly. Outpatient Service Programming Support. Integrates and coordinates with the Inpatient treatment team: attends meetings related to treatment and discharge planning, working with case managers, therapists and physicians. ...
