Intake/Remibursement Specialist
Provide superior customer service to all internal and external customers.
Accept and process referrals, identify payer sources, verify benefit information and acquire initial authorization as needed to begin patient service or to determine denial of patient service.
Takes initiatives to problem solve all questionable referrals to assure correct payer source.
Follows up on pending unresolved coverage issues.
Documents and communicates to appropriate providers and internal department's accurate intake, benefit/authorization, and reauthorization information on current or potential patients.
Maintain accurate patient benefit information and to effectively communicate with case management staff, liaisons, social workers, physicians, clinics, Fairview Homecare and Hospice (FHCH) teams or departments, staffers, billing/benefit staff, outpatient infusion center staff and all others needing to make service related decisions.
Qualifications
Minimum Education: Vocational/technical training/Associate or 4 year Degree in health related field. Experience: Minimum of two years recent experience working either in a pharmacy setting or with health insurance/benefits. Customer service skills. Computer database management, keyboarding, Internet, email experience required. Preferred Experience: Recent experience in the area of infusion therapy. Insurance knowledge related to health care field. ICD9 coding knowledge.
About Fairview
For more than 100 years, Fairview has been improving the health of the communities we serve. We have grown into one of Minnesota's largest nonprofit organizations. Today, we are more than 20,000 employees providing exceptional care and leading health care innovations that will sustain us into the future.
We partner with one of the nation's top research and teaching facilities - the University of Minnesota and its Academic Health Center. Our partnership is a national model that enables us to provide breakthrough medicine to our patients.
Our caregivers and leaders are re-envisioning patient care during a time of transformational change in health care. From ground-breaking care models in our primary care facilities to unique collaborative relationships with payers and employers and implementation of new technologies, we're committed to improving the overall value of our clinical quality and experience for our patients as we reduce the cost of care.
We are hospitals, clinics, home care, hospice, rehabilitation, pharmacy services and much more. To the communities we serve, we are known as a healthcare leader, community partner and trusted advocate. As an employer, we nurture the teamwork, passion and excellence needed to deliver our promise of exceptional care to our patients.
We offer competitive compensation and comprehensive benefits to fit your life.
See current job openings and apply online at:fairview.org/careers
EEO/AA Employer
Intake/Remibursement Specialist
This job has now expired
Employer
Fairview
Posted
Thursday, January 24, 2013
Closes
Wednesday, February 06, 2013
Location
Fairview Pharmacy Services
Category
Employment Status
Full Time
Further information
Fairview
For over 100 years, Fairview has been improving the health of the communities we serve. We've grown into one of MN’s largest nonprofits. More than 20,000 employees provide exceptional care and lead healthcare innovations that will sustain into the future.
