COLUMBIA ST MARY'S Representative-Insurance in GLENDALE, Wisconsin

JOB REQUIREMENTS: Determines and verifies insurance coverage and coordination of benefits from all sources. Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures. Enters patient insurance information into the patient record and documents insurance coverage of services to be provided. Determines financial responsibility for services to be provided. Notifies patients and/or practitioners of any services requested and/or referred that are not authorized by insurance. Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues. Completes all of the pre-service activities to include, but not limited to, preregistration, order validation, insurance coverage verification; obtains pre-authorization and completes payment collection. Assists in investigation of denials as necessary to obtain appropriate payment or prioritizes retro-authorization requests. Obtains continuing authorizations as needed. Columbia St. Mary's is an equal opportunity employer and will not discriminate against employees or prospective employees on the basis of age, race, creed, color, religion, marital status, sex, national origin, ancestry, citizenship, sexual orientation, disability, arrest and/or conviction record, military status, protected veteran status, or any other characteristic or status protected by law. ***** OTHER EXPERIENCE AND QUALIFICATIONS: Three to five years of healthcare experience required. ***** APPLICATION INSTRUCTIONS: Apply Online: