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
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.
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
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
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.