Pre-Cert/Benefits Analyst Internal at Good Samaritan

Vincennes, Indiana, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Aug, 26

Salary

0.0

Posted On

22 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Pre-certification, Insurance Verification, Medical Billing, Member Eligibility, Accounts Receivable, Data Entry, Business Writing, Authorization Management

Industry

Hospitals and Health Care

Description

Job Summary: Achieves high standard of billing to best meet Good Samaritan Hospital strategic goals. Ensures highest third party reimbursement for the benefit of the patient. Must be certified by HBI---Certified patient financial services specialist Essential Job Duties: 1. Makes outgoing calls to insurance companies; utilizes insurance websites for pre-certification, authorization verification, or member eligibilty when available. 2. Works with intake to ensure procedures scheduled matches authorization request. 3. Determines if client’s insurance is a part of the provider network for highest reimbursement possible. 4. Documents appropriately in-coming pre-authorizations from insurance companies/maintains monthly reports to obtain on-going authorizations for future services as needed for clients. 5. Communicates via telephone or written correspondence with providers and clinical staff to provide additional medical information. 6. Communicates via telephone or written correspondence with providers and clinical staff to provide additional medical information. 7. Reviews accounts receivables information and notifies Patient Accounts Manager of potential denial of payment issues. 8. Alerts clinical staff of services scheduled for which no authorization is in place. Secondary Job Duties That May be Reassigned: 1. Gets and distributes incoming, outgoing and inter office mail. 2. Answers and directs phone calls. 3. Updates job knowledge by participating in educational opportunities. 4. Contributes to team effort by completing other duties as assigned. Why Choose Good Samaritan? For more than 115 years, Good Samaritan has been dedicated to not only providing trusted, industry-leading health care, but to fill a vital role in southwest Indiana and southwest Illinois. Our hospital continues to adhere to the compassionate principles our facility was founded on and further our commitments to our patients, our staff, and the communities we serve. Good Samaritan is well recognized for its commitment to excellence as a 4-time designated Magnet® facility, TJC Primary Stroke Center, and a Level III Trauma Center. We would love to welcome you to our Good Samaritan family. Thank you for your interest in employment at Good Samaritan Hospital. Please provide all information requested to assure that all your qualifications are fairly considered for current or future vacancies. Your application will remain in our active files for six months. After six months, re-application is necessary. The submission of this application does not automatically result in an employment interview or job offer. EQUAL EMPLOYMENT OPPORTUNITY POLICY Good Samaritan Hospital is an equal opportunity employer. It is the policy of this facility to provide equal opportunity to persons regardless of race, religion, age, gender, disability, national origin, color, or any other classification in accordance with federal state and local statements, regulations, and ordinances.

Responsibilities

The role focuses on managing pre-certifications and authorizations to ensure maximum third-party reimbursement for the hospital. It involves coordinating with insurance companies, clinical staff, and intake teams to prevent payment denials.