• Insurance Verification-FryeCare Cardiology

    LifePoint Health (Hickory, NC)


    Job Summary

    Work with insurance companies on patient admissions.

    COMPANY DESCRIPTION

    Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty care providers.

    Essential Functions

    1. Notify insurance companies via online or telephone of patient admissions whether inpatient or observation with information to verify patient coverage, correct insurance is applied, update and make corrections as needed.

    2. Streamline the admission process and secure any necessary pre-authorizations as needed working the NOA worklist within the established turnaround time of 48 hours or less.

    3. Updating patient information into our system as well as updating the authorization field per Lifepoint Standards

    4. Staying current with insurance requirements and problem solving cases as needed.

    5. Logs incoming insurance calls, communicates requests for clinical information by insurance companies to the other financial case managers or can provide clinical as needed.

    6. Communicates with Patient Access Department and Business Office re: authorization of services.

    7. Notifies DCM if potential denial for services is received by insurance company and provides timely information and follow up to get all days certified.

    8. Assist with other administrative tasks as needed.

    9. Attendance Policy

    10. Communications

     

    Why join our team?

    Frye Regional Medical Center employs more than 1500 professional and clinical staff. Our medical center is a 355-bed acute care facility which offers a broad array of inpatient and outpatient care. Frye Regional Medical Center is dedicated to providing patients with a full range of services to meet the healthcare needs of our community. We believe our employees are our most valuable assets in accomplishing this goal and we have made great strides to ensure employee satisfaction. If you are passionate about changing lives, we are looking for you!

     

    Benefits - Wide range of benefits options!

    * Here at Frye, you choose your own Medical, Dental, and Vision plans from a variety of competitive options that give you the coverage that best fits your needs.

    * HSA

    * 401(K) retirement plan contributions

    * Generous Paid Time Off

    * Accident & Critical Illness Insurance

    * Prescription Assistance with OptumRx

    * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft.

    * Employee Assistance program at no cost to you to provide emotional, legal, financial, and daily life support for your entire household. Services are available 24 hrs. a day, 7 days a week.

    * Free travel and entertainment discount program to ensure you enjoy your time away from work.

    Minimum Education

    * High school diploma or equivalent required

    * Knowledge of basic medical terminology and coding preferred. Computer proficiency including Microsoft Office programs.

    Minimum Work Experience

    * Two years’ experience in hospital setting preferred. Good organizational skills, ability to work well with people, must be self-directed and must be able to communicate effectively with departmental, hospital, and outside agency staff.

    **Job:** **Other*

    **Organization:** **Frye Regional Piedmont Cardiology-Hickory*

    **Title:** *Insurance Verification-FryeCare Cardiology*

    **Location:** *NC-Hickory*

    **Requisition ID:** *7469-10560*