Insurance & Medical Records Clerk
This job posting is no longer active.
Location: Danbury, CT, United States
Salary Range: 17.60 - 33.48
Work Type: Full-Time
Standard Hours: 40
FTE: Non-Exempt
Work Schedule: Day 8
Work Shift: Monday thru Friday 8:30am to 5PM and weekend rotation
Date Posted:
See what’s possible in our system of care
Nuvance Health extends from New York’s Hudson Valley to western Connecticut. Our team of more than 15,000 caregivers delivers compassionate care through seven community hospitals, primary care and specialty practice locations, outpatient settings, home care services and telehealth visits. With strong hearts and open minds, we’re pushing past boundaries and challenging the expected, all in the name of possibility. As we journey forward, we are guided by our values: personal, imaginative, agile and connected. Our curiosity is opening new pathways and creating new advancements in healthcare for all.
Description
Summary:
Responsible for obtaining signed orders from physicians per state regulations. Manages and maintains the integrity of the home care patient medical records to include tracking and timeliness of physician orders to meet regulatory requirements. Runs daily physician order runs for mailing. Assists with the eligibility, authorization and billing process. Provides back-up coverage of the reception desk in the absence of the receptionist and back-up for the schedulers.
Responsibilities:
1. Maintains the integrity of the home care patient medical records to include tracking and timeliness of physician orders to meet regulatory requirements, running daily physician order runs for mailing/faxing, and maintains confidentiality and safety of patient medical records and information.
2. Print reports for outstanding orders, follow-up with physician offices re: re-printing and/or re-faxing of orders to comply with State of CT Regulations.
3. Reviews and enters patient/client registrations as submitted. Ensures proper pay status, ID numbers, social security numbers, diagnoses codes, and physicians are entered in the computer to generate billing.
4. Conducts insurance verification/authorization process.
5. Review and prepare patient billing, per guidelines established by payor. Prepares bills, copies all forms to be sent with bills, follow-up with billing adjustments and co-pays to individual patients. Checks paid bills against files to determine collection action.
6. Processes phone calls from patients or patient representatives and supply billing and payment information requested.
7. Performs collection activities for payors.
8. Cover scheduling position when staff is out and/or on vacation.
9. Cover intake assistant duties when staff is out and/or on vacation.
10. Provides back-up coverage of telephone for the reception area.
11. Participates in weekend rotation for insurance eligibility and authorization.
12. Fulfills all compliance responsibilities as related to the position.
13. Maintain and Model Nuvance Health Foundational Values (Personal, Imaginative, Agile, Connected.
14. Performs other duties as required.
Working Conditions:
Manual: significant manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Western CT Home Care Inc
Org Unit: 617
Department: Financial
Exempt: No
Salary Range: $17.60 - $33.48 Hourly
We are an equal opportunity employer
Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.
