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Insurance Information

Location:
United States
Salary:
$21.00
Posted:
October 29, 2016

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Diane Nessinger

* ******* ******

Beverly, MA ***15

(978) ***-****

North Shore Medical Center

** ******** ******

Salem, MA 01970

Birth Place Registrar & Scheduler January 2016 – September 2016

• Meet with patients one on one to verify their personal information and insurance in order to register for various visits. Verify insurance coverage and obtain authorization for each patient who is admitted to the facility.

• Notify insurance companies of patient delivery and obtain authorization for newborn. Document in ISGOLD and HURON systems once authorization is complete.

• Receive phone calls from various OBGYN offices to schedule cesareans, inductions, cerclages, circumcisions, non stress tests (nst), and cervidal inductions. Enter all appointments in Nurses' Book and Tempus.

• Keep Nurses' Book and Tempus updated on a daily basis by omitting and adding information to ensure all documentation is correct.

• Make sure Tubal Ligation Book is up to date with signed authorization forms for patients who are having upcoming procedures.

• Infusion Clinic Insurance Authorization: Run necessary reports to obtain list of patients scheduled. Verify insurance and obtain authorization for each patient who has an appointment with the Infusion Clinic. Mark cases off in HURON system that each case is complete.

• Masshealth Notification of Birth (NOB): Update newborn's name in ISGOLD once birth certificate is complete and newborn is discharged. If mother has Masshealth, complete NOB for baby fax it and and then mail original. Check daily to see if application has been approved. After approval, document insurance information to financial sections within both ISGOLD and HURON systems. Once this information is entered into all appropriate sections of each system, a bill will be issued to the insurance company and the hospital can collect payment.

Bed Placement Coordinator/Insurance Precertifier March 2010 – January 2016

• Use ethical judgement to complete bed assignments of all admissions and transfer patients in a prompt manner in order to provide the best outcome for each patient while abiding by department procedures and protocols.

• Insurance Precertifer: Verify insurance for surgery cases through various provider websites. Obtain information such as copayment and deductible. Obtain authorization and/or referral if required. Notify Financial Counselor with copayment and deductible information so they can notify patient. Upon completion, appropriately document information in ISGOLD and HURON. Insurance Precertertifcation/Authorization Representative January 2005 – March 2010

• Insurance Precertifer: Verify insurance for emergency and surgery cases through various provider websites. Obtain authorization and/or referral if required. Document in ISGOLD and HURON as required. Scheduling Coordinator (NSCH) January 1999 – March 2010

• Schedule appointments for OT/PT Department and Florence Robertson Clinic (FRC).

• Verify insurance coverage and obtain authorization/referrals for appointments. Maintain patients' charts according to hospital standards as needed.

• Responsible for proper distribution of reports to patient and doctors for FRC clinic.



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