Good Samaritan

Pre-Cert/Benefits Analyst Internal

Good Samaritan  •  Vincennes, IN (Onsite)  •  6 days ago
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Job Description

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.

Job Specifications:

  • Education: Associate Degree in social work, nursing or business or related field.
  • Experience: Knowledge of software applications and administrative and clerical procedures. Proficient in spelling, grammar, punctuation, and other language skills. Proficient in keyboarding, data entry and business writing.
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.
Good Samaritan

About Good Samaritan

For more than 100 years, Good Samaritan has been a health care leader in southwestern Indiana and southeastern Illinois. Located in historic Vincennes, Good Samaritan is a 158-bed community health care facility with over 1,800 employees and a commitment to delivering exceptional patient care.

Good Samaritan offers a broad range of medical services as well as some of the most progressive technology available today. The Gibault Memorial Tower, opened in 2015, provides our patients, their families and our entire community an environment where the highest quality of care is provided. An array of services and staff are ready to greet patients with medical expertise, cutting-edge technology and big hearts. The tower has five floors, each with a focus: Cardiology and Clinical Decision, Intensive Care, Pediatrics and Medical Surgery, Joint Replacement and Medical Surgery, and Women’s Health and Oncology.

The hospital also has a state-of-the-art Same Day Surgery Center, with surgical suites designed with input from the hospital’s physicians.

The Cancer Pavilion is a 25,000-square-foot comprehensive oncology care center, featuring one of the most advanced methods for delivering radiation therapy, a linear accelerator with IMRT. The Pavilion also has 12 fully equipped infusion suites and other amenities for patients and families.

Good Samaritan is proud that generations of families have chosen us as their preferred health-care provider, allowing us to be the first, best place in health care.

Mission: Provide excellent health care by promoting wellness, education and healing through trusting relationships.

Vision: To be the regional center of excellence in health care to support the communities we serve.

Our Promise: We promise to treat you like family by delivering compassionate, high-quality care throughout your journey.

PRIDE Values

Patient | Respect | Integrity | Dignity | Excellence

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Vincennes, Indiana
Year Founded
1908
Website
gshvin.org
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