UnityPoint Health
Location
Cedar Rapids, Iowa
The specialist will handle reception duties, including greeting patients and managing schedules, alongside comprehensive billing tasks such as insurance verification, pre-authorization, and resolving account issues.
Candidates must be a high school graduate fluent in English, possessing strong organizational skills, attention to detail, and the ability to use independent judgment for decision-making.
Non-Clinical Excellence Scheduling/receiving/greeting: Receives patients and visitors and answers telephone; screens calls and callers, referring them to the appropriate person. Creates a welcoming environment for person’s served. Effectively manages positive relationships with referral sources and other members of the team. Schedules all patient appointments. Coordinates all modifications to patient schedules, including reschedules, cancellations, no-shows and discharges. Manages providers calendars. Billing/insurance/counseling: Verifies insurance eligibility and insurance coverage for assigned department(s) via phone or internet. Contacts patients prior to first appointment and counsel’s patient on coverage. If unable to contact patient prior to first appointment, counsels them when they arrive for first appointment. Documents in account notes in EPIC. Gathers billing information for patients with worker’s comp insurance (employer demographics, responsible billing party, billing address) and coordinates authorization for services. Manages and coordinates pre-authorizations for services as needed. Sends requested documentation to third party payers for prior authorization and reauthorization of patient visits. Coordinates Price-line requests for estimate of cost for the patient. Counsels patients on process for estimates of their payment for therapy, prompt pay, and financial assistance applications. Accurate billing/collections/denials: Reconciles daily patient attendance and charges posted with revenue/usage reports. Responds to patient’s questions regarding their account and ensures solutions to patient billing, complaints or concerns. Demonstrates ability to effectively manage details by accurately completing registration/referrals, maintaining medical records, and charge correction. Collects payment as needed Monitors and completes accounts on multiple work queues in EPIC, including referrals and denials. Problem solves, analyzes and collaborates with patient, therapist, Central Billing Office, Revenue Cycle department, and insurance companies to identify and resolve billing and denial issues, including sending appeals and trouble- shooting and correcting claim or account errors. Documents denials and billing issues to identify processes that need improvement in order to maximize efficiency and ensure proper payment within the department. Daily and/or weekly duties: Creates and modifies documents using word processing and spreadsheet computer programs. Maintains designated filing and record keeping systems. Assists with preparation of reports, graphs, and statistical information. Orders supplies for department. Serves as payroll timekeeper for assigned departments. Performs other related secretarial and clerical functions as requested.
Must be at least a high school graduate Writes, reads, comprehends and speaks fluent English Multicultural sensitivity Microsoft Office and Outlook – basic computer skills Customer/patient focused Critical thinking skills using independent judgment in making decisions High organizational skills Ability to multi-task High attention to detail Use of usual and customary equipment used to perform essential functions of the position
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