Care New England Health System
Warwick, RI
Job Summary:
Accurately prepares edits and submits bills in a timely manner, confirms eligibility, and obtains authorization in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing, eligibility verification, coordination of benefits, and authorization policies, regulations, rules and reimbursement.
Duties & Responsibilities:
Obtains accurate and complete insurance coverage information and authorization for services utilizing electronic access when available. Understands prior approval and all authorization requirements and timeframes. Investigates and makes corrections in McKesson. Incorporates all new processes and requirements into daily work as requested. Accurately completes assigned processes. i.e. Au notes CB notes and BN notes as well as...