+ ESSENTIAL DUTIES AND RESPONSIBILITIES + Works with Revenue Cycle departments to identify trends, root causes, and corrective actions; presents outcomes to leadership via monthly meetings, presentations and reports. + Identifies areas of review and completes monthly audits for all service areas. + Researches payer websites for payer changes and denials; helps create new processes with leader to close any gaps. + Ensures goals are met as determined by key performance indicators of volume and accuracy of work completed utilizing system tools or processes. + Follows established department policies related to patient registration, verification of insurance eligibility and benefits, and referral status; collects patient responsibility amounts for services provided throughout the health system. + Establishes contact with patients via inbound and outbound calls. + Secures correct financial information, educates on financial responsibilities, collects estimated amount due and/or advises on financial assistance to pre-register patients for future dates of service. + Verifies insurance eligibility and benefits utilizing a real-time eligibility tool, payer websites, and/or telephone calls to payers. + Collects and documents payer verification responses in revenue systems; verifies primary care physician (PCP) and demographic information. + Secures timely authorizations for all services that require authorization per payer regulations. + Performs other duties as assigned. + LICENSES AND/OR CERTIFICATIONS + None required. + MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS + High school diploma or equivalent required. + Minimum of four (4) years of healthcare experience in operations, registration and/or revenue cycle. + Excellent customer service skills required to communicate with internal and external clients. + Demonstrates the ability to solve problems independently or as part of a team. + Must have excellent organizational and time management skills. + WORKING CONDITIONS + Normal office environment with little exposure to excessive noise, dust, temperature and the like. + PHYSICAL REQUIREMENTS + Click here to view physical requirements. (https://www.chkd.org/uploadedFiles/Documents/Employees/Category%20A%20Jobs.pdf)