Full-Time Pre-Admissions Specialist   M-F 830-5

Positon of pre-admissions specialist will include verifying certain payer types for co-pay, deductible, pre-certification, authorization, purchase orders and self pays. Previous experience with insurance verification preferred. 

Duties and Ressponsibilities:
  1. Verification of work comp.  Verify authorization number; obtain payer claim address and any other pertinent information before service(s) is provided.
  2. Verification of authorization for all Tricare, before service(s) is provided.
  3. Verification of authorization for all VA, before service(s) is provided.
  4. Verification of Title 19 benefits for all surgery patients.
  5. Verification of benefits and pre-cert on all observation and inpatient procedures before service(s) is provided and outpatients with insurance companies requiring such.
  6. Authorize CTs, MRIs and surgeries for DakotaCare State employees.
  7. Obtain purchase orders for all IHS.
  8. Authorize imaging for those insurance companies that require pre-authorization.
  9. Authorize injection procedures for those insurance companies that require pre-authorization.
  10. Relay accurate pricing information to appropriate parties.
  11. Following policy and procedure, establish self pay contracts.
  12. Utilizing software programs to relay insurance information between BHSH and BHIC.
  13. Maintain professional demeanor at all times with patients, physicians, employees, co-workers, and BHSH Partners.
  14. Read all publications that affect your duties and/or responsibilities.
  15. Complies with Federal and State laws and regulations, and BHSH’s compliance program, policies and procedures.

Department: Health Information
This is a non-management position
This is a full time position

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