• Job Description

  Req#: 250623-50016789
  1. Answer calls, obtains information, and ensures that the call is directed to the appropriate staff.
  2. Registers patients, verifies insurance coverage, insurance deductibles, and copays. Obtains prior authorization and ensures insurance information is entered into the system.
  3. Review and track patient daily census.
  4. Validates insurance effective dates, coverage levels, and financial obligations of the patient in advance of scheduled service dates.
  5. Communicate with patients regarding charges that may be in question including copayments and deductibles or refer them to Patient Financial Services for further questions.
  6. Communicate with behavioral health staff regarding prior authorizations and verify the accuracy of demographic and payor information.
  7. Maintain tracking system, notify providers when continued authorizations and certifications are required.
  8. Work closely with support staff to ensure daily charge/capture reconciliation information is correct.
  9. Responsible for daily work queues to resolve front end billing edits.
  10. Work closely with Psychiatric Financial Manager to develop systems to improve revenue cycle management.
  11. Keep current on new policies and procedures, including but not limited to, third-party payors, hospital procedures and any insurance updates.
  12. Comply with departmental and organizational policies/procedures including but not limited to dress code, telephones, cell phones and computers.
  13. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.
  14. Perform other work-related duties as requested/directed by management.
  • Ability to read, write and communicate in English .
  • High School Diploma or GED.
  • Associates or Bachelors preferred.
  • Working knowledge and proficiency with Microsoft Office Suite (Word, Excel, Outlook), use of Internet.
  • Minimum of one-year experience interacting with patients.
  • A minimum of one-year experience with hospital medical information systems such as Epic within the last three (3) years.
  • One year experience in insurance verification/authorization Payor processes in hospital and/or physician billing requirements preferred; or one year recent (within the past 3 years) comprehensive work with 3 rd party billing to include DSM-V diagnosis and CPT procedures.
  • Understanding of psychiatric diagnosis and/or Mental Health Carve-Out Insurance experience preferred.
  • Crisis Prevention Intervention (CPI) Training must be obtained within 1 month of new position.
  • Basic Life Support (BLS) certification within 1 month of new position and must maintain.

• About the company

  Cape Cod Healthcare (CCHC) is the leading provider of healthcare services for residents and visitors of Cape Cod.

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