Satellite Healthcare Accounts Receivable Intake & Authorization Specialist in Mesa, Arizona

Requisition Number 18-0338

Post Date 5/7/2018

Title Accounts Receivable Intake & Authorization Specialist

Location AZ - Accounts Receivable

Job Status Full Time

Work Hours 40

City Mesa

State AZ

Description

We're Satellite Healthcare, one of the country's most innovative providers of patient-centered dialysis and kidney disease services. Known for our collegial and supportive corporate culture, our medical and clinical staff are

highly motivated and committed to promoting patient wellness and improved quality of life. At our attractive and comfortable treatment centers, our patients receive unparalleled renal disease education and treatment, medical technology, nutrition programs

and social services.

The Accounts Receivable Intake & Authorizations Specialist ensures that all phases of the patient intake and authorization process are completed in a timely and thorough manner. Tracks and requests all ongoing treatment authorizations and requests retro-authorization

if necessary. Works closely with the A/R team to resolve collection problems resulting from incorrect insurance information.

Essential Functions:

The essential functions listed are not a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. All employees must work in accordance with Satellite’s I-CARE Standards. Employees must abideby all Satellite’s standards of patient care, patient’s rights and ethical treatment, and adhere to safety and quality programs.

  • Establishes and utilizes organized systems to track requests and complete intake approval in a timely manner; functions as initial point of contact for new patient admission and transfers from other dialysis centers

  • Notifies the dialysis center promptly of approved referrals and keeps the center informed about delays or issues surrounding new patients

  • Develops a personal and electronic network of contacts with IPAs, medical groups and payer Utilization Review Departments to facilitate new and ongoing authorizations; uses appropriate systems reports to ensure no lapses in authorization

  • Responds to requests from A/R staff to verify insurance coverage and/or obtain new authorization when retro-active notice of changes in insurance are received or detected in the collection process

  • Accurately determines Coordination of Benefits dates and correctly loads future Medicare dates in the Billing System patient record

  • Insures the confidentiality of patients an employee information in compliance with HIPPA guidelines

  • Willingly preforms other tasks identified as necessary for the smooth and effective operation of the A/R department

Requirements

Minimum Qualifications:

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: High School Diploma; some college or business courses preferred

Experience: One year of experience in a medical billing environment

Knowledge, Skills & Abilities:

  • Basic knowledge of automated accounts receivable systems

  • Ability to understand and apply Medicare and Medicaid ESRD rules and regulations and coordination of benefits requirements

  • Understanding of private insurance industry: PPO, HMO, POS, Medicare Advantage and Indemnity Plans

  • Ability to organize and manage a large volume of incoming documents accurately with minimum supervision, as well as process ability to work cooperatively with others

  • Accurate keying and ten-key skills

  • Detail oriented

  • Contributes to harmonious and constructive working relationships with all staff members to promote a positive, productive and team-oriented atmosphere

Satellite Healthcare, Inc. (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. Women and men, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. We offer a drug-free work environment.