POSITION SUMMARY:
Reviews and validates insurance eligibility, prior authorization and/or referral of medication, testing, procedures, and surgery is completed and confirmed. Contacts third party payer to determine appropriate prior authorization process. Reviews professional services denials; works with clinics and third party payers on appeal process. Collaborates with care teams, case management, and other cross-functional teams. Assists patients with insurance related questions and problems, corrects insurance computer screens, assists patients in filing insurance claims and completing insurance forms, works with insurance companies to pre-certify patients for surgery, answers patient correspondence, and performs related duties.
APPLY NOW - To apply for a position(s), complete one of the following options: Online Application, PDF Application or Word.DOC Application. For more information on becoming a member of the Brown Clinic team, contact Human Resources at 605-884-4231 or click here.
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