SCHI Finance and Authorization Specialist

Rochester Regional Health | Rochester, NY

Posted Date 1/09/2024
Description

Job Description

HOW WE CARE FOR YOU:

At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.

  • Pension Plan
  • Retirement Plan
  • Comprehensive Benefits Package
  • Tuition Reimbursement
  • Benefits Effective Date of Hire
  • Same Day Pay through Daily Pay

SUMMARY

The primary responsibility of the Finance and Authorization Specialist is to promptly verify patient’s insurance, obtain and verify if not provided, provide accurate patient estimate, obtain authorization for the procedures and treatments ordered by both SCHI and PCP providers, obtain referrals should a specific plan require it, and maintain communication to multiple departments with findings and issues.

STATUS: Per Diem

LOCATION: Brighton

DEPARTMENT: Sands-Constellation Heart Institute

SCHEDULE: Per Diem

ATTRIBUTES

  • Associate’s Degree
  • 1-2 years relevant work experience
  • Previous experience with insurance verification and benefit application, familiarity with ICD-9 diagnosis, and procedure codes, and CPT/HCPCS codes.
  • Proficiency in a variety of computer applications, spreadsheet applications, and common office equipment.
  • Flexibility and ability to work as a team player
  • Ability to handle simultaneous tasks paying great attention to detail
  • Excellent communication skills including both oral and written as well as interpersonal skills.
  • Excellent problem solving and follow through skills.

RESPONSBILITIES

ESTIMATES & PRICING: Generate timely patient estimates through the use of Rochester Regional Health's Estimate Tool. Utilize appropriate insurance verification tools to validate patient insurance eligibility. Support internal offices with generating estimates for future services. Deliver Price Estimates to patients in a courteous and knowledgeable manner. Deliver finalized estimate findings to patient via phone call, email, or MyCare channels. Obtain prior-authorization on both internal and external department orders for procedures and testing performed at SCHI locations; applicable to both new and established patients.

COMMUNICATION & SUPPORT: Coordinate with Patient Registration to appropriately and accurately schedule patients in accordance with the provider's orders. Communicate with other departments to address scheduling or authorization issues. Complete forms and letters to insurance for visit coverage. Monitor daily schedules for add-on appointments, insurance changes, and work accordingly within our policies to verify insurance, process estimates, and/or obtain authorizations. Monitor pending authorizations and follow due process should it need to be rescheduled. Participate in orientation of new staff. Obtain referrals from payers that require it. Obtain insurance information through various searches when not in the system. Complete other duties as assigned

PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE: $17.75 - $22.58

Salary17.75 - 22.50 Hour
Employment Type
Full Time

Share this job