Responsible for ensuring appropriate insurance verification, i.e. correct coverage, applicable benefits, and coordination of benefits. Responsible for reviewing authorization requirements and ensuring approvals are obtained for surgeries, radiology/ancillary appointments, and hospital stays. Communicate with other hospital departments including admitting/registration, financial counseling, and utilization review. Communicate with provider offices (i.e. surgery schedulers, patient service coordinators, etc.) to ensure authorization initiation, gather additional clinical information, relay pertinent insurance information, etc. Communicate with insurance providers via phone and electronically via web portals to validate patient benefits, check authorization requirements, and review authorization status. Responsible for maintaining and properly handling inbound and outbound calls. All responsibilities should contribute to providing the remarkable patient experience, team member experience, and an overall reduction in denials and write-offs.
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At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
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