Patient Insurance Navigator
- Verify patient’s insurance status and benefit eligibility.
- Accurately determine the patient un-met deductible, co-insurance, and co-payment amounts
- Accurately and timely provide for any pre-authorization or pre-certification of services.
- Communicate with center staff, referring offices, team members, leaders, and schedulers.
- Provide high level of customer service with goal of maintaining low cancellation and auth denial rates while increasing Time of Service collection rates.
- Meet or exceed established productivity standards.
- Meet or exceed established quality assurance standards and maintain customer experience expectations.
- Meet or exceed established error standards.
- Meet or exceed expectations related to phone and instant message response time and quality of service provided in those interactions.
- Ensure patients that are not approved or covered for services are notified timely and provided all options including rescheduling and waivers.
- Provide price estimates prior to scheduling when requested.
- Other duties as assigned.
- Ability to understand basic medical terminology.
- Knowledge of pre-certification process for insurance companies.
- Ability to calculate deductible and coinsurance correctly.
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