Financial Planner

AltaPointe Health Systems; Mobile (AL); On-site; USD 35,000 - 47,000; Full time

Job summary

AltaPointe Health Systems is seeking a detail-oriented insurance verification professional to support the Access to Care department. You will verify insurance eligibility across Medicaid, Medicare, and other providers, complete financial information, and obtain necessary authorizations for services.

Responsibilities include ensuring accurate consumer records, communicating with Finance and staff, and coordinating with clinicians based on insurance.

Qualifications

• High school diploma or equivalent; Associates degree preferred.
• Must be computer literate, detail oriented, dependable, focused, and able to multi-task as well as have strong communication skills and follow through with deadlines.
• Proficiency in Microsoft Office applications such as Excel and Outlook.
• Experience verifying and accessing outpatient and inpatient insurance eligibility, authorization, and billing (commercial, Medicare, Medicaid, etc) is strongly preferred.
• Working knowledge and familiarity of medical insurance policies is strongly preferred.

Responsibilities

• Process insurance verifications for the Access to Care department; research consumers with insurance eligibility websites as appropriate.
• Complete financial information and eligibility.
• Notify Finance and staff of changes and daily deficiencies as appropriate.
• Obtain appropriate prior authorizations as needed for services.
• Ensure consumer records have up-to-date insurance verification information.
• Maintain ongoing communication with Finance and staff of changes or requirements.
• Ensure consumers are assigned to appropriate clinicians based on insurance.
• Provide coverage as needed and perform other duties as assigned.
• Verify payor source and funding information for hospital admissions.
• Verify insurance eligibility and benefits including coverage, co-pay, and deductibles.
• Populate Avatar system fields related to insurance and guarantors.
• Complete preadmissions according to petitions and weekly court docket.
• Ensure notifications and authorizations are completed on time frames.
• Communicate financial information to hospital and admission staff.
• Review daily census reports for accuracy and after-hour admissions.
• Track Medicaid and Medicare coverage status.
• Seeks supervision and consultation as needed.
• Accepts and employs suggestions for improvement.
• Actively works to enhance skills.

Skills

Attention to detail

Strong communication

Multi-tasking

Education

High school diploma or equivalent

Associates degree preferred

Tools

Microsoft Excel

Outlook

Job description

Process insurance verifications for the Access to Care department

• Runs and researches all consumers that present with or without insurance through Medicaid, Medicare, and other commercial insurance eligibility websites as appropriate
• Completes financial information and eligibility.
• Notifies Finance and Accounting, CarePointe and Center staff of any changes, requirements, and daily deficiencies as appropriate.
• Obtains appropriate prior authorizations as needed for services.
• Works closely with department staff to ensure that financial information is secured and correct on consumers, including that the consumer’s record has appropriate up-to-date insurance verification information.
• Maintain ongoing communication with Finance and Accounting, CarePointe and other staff of any changes or requirements as needed.
• Ensures consumers are assigned to the appropriate clinicians, as appropriate, based on insurance.
• Provides coverage in department as needed and other duties as assigned.

Responsible for ensuring payor source and funding information for Hospital Admissions

• Obtains payor source and ensures funding information is obtained on all voluntary and involuntary adult and child hospital admissions.
• Verifies insurance eligibility and benefits, including coverage, co pay, and deductibles as necessary.
• Accurately populates and loads all fields in the Avatar system as related to the patient’s insurance and guarantor rankings.
• Completes preadmissions according to petitions received and consumers listed on weekly court docket.
• Ensures that all notifications and authorizations are completed with the required time frames.
• Communicates financial information to hospital and admission staff.
• Reviews daily census reports checking for accuracy and after hour admissions.
• Tracks and ensures that Medicaid and Medicare coverage is current or reactivated.

Supervision and Consultation

• Seeks supervision and consultation as needed.
• Accepts and employs suggestions for improvement.
• Actively works to enhance skills.

Courteous and respectful towards consumers, visitors and co-workers

• Treats consumers with care, dignity, respect and compassion
• Respects consumers’ privacy and confidentiality
• Is pleasant and cooperative with others

Administrative and Other Related Duties as assigned

• Completes assigned tasks in a timely manner
• Works in a cooperative manner with other AltaPointe employees
• Follows AltaPointe policies and procedures
• Receives and respond to inquires of accounting matters promptly and courteously
• Must perform all duties with the highest standard of accounting ethics

High school diploma or equivalent; Associates degree preferred

Must be computer literate, detail oriented, dependable, focused, detail oriented, and able to multi-task as well as have strong communication skills and follow through with deadlines Proficiency in Microsoft office applications such as Excel and Outlook

Experience verifying and accessing outpatient and inpatient insurance eligibility, authorization, and billing (commercial, Medicare, Medicaid, etc) is strongly preferred

Working knowledge and familiarity of medical insurance policies is strongly preferred