Performs insurance verification for all scheduled patient services and obtains required precertifications in a multi disciplinary environment. Two of the four skill levels required 1. One year experience in healthcare environment or 2. Completion of healthcare related certificate program 3. One year experience with medical insurance in a hospital or physician office or 4.

Responsible for supporting the Finance leadership in the systems and accounting of cash receipts, billing, capitation and premium reconciliations, and revenue maximization of government programs. Engages in significant research and analysis in partnership with various departments to reconcile capitation payments received to ensure accurate payment for each contracted serv

Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Provides prompt feedback to physicians and management regarding pathway documentat

Performs insurance verification for all scheduled patient services and obtains required precertifications in a multi disciplinary environment. Two of the four skill levels required 1. One year experience in healthcare environment or 2. Completion of healthcare related certificate program 3. One year experience with medical insurance in a hospital or physician office or 4.

Essential Duties & Job Functions Operates keyboard controlled data entry devices such as computer, key operated magnetic tape, or disc encoder to transcribe data into a format suitable for computer processing. Operates an alphanumeric keyboard and transcribes procedures and relevant data entry equipment. Works under close supervision and follows specific procedures or det