Full time (40 hours weekly) 7:30 am to 4:00pm Monday- Friday **General Summary** Performs a variety of support functions for each assigned facility including, but not limited to, monitoring imaging and infusion schedules to ensure authorizations have been obtained and answering calls regarding referrals and authorizations; or, insurance verification, obtaining authorizations, mailing patient responsibility letters, and receiving payments through the mail. Possesses a working knowledge of insurance requirements and restrictions. **Duties and Responsibilities** **Essential Functions:** + AUTHORIZATION DUTIES: - Performs online and telephone authorization verification for outpatient imaging procedures and infusion procedures. - Contacts provider offices to obtain authorizations and referrals as needed. - Obtains authorizations for outpatient imaging procedures ordered by the facility providers as needed. - Maintains appropriate documentation in Eclipsys and on the authorization spreadsheets. - Notifies imaging sites of financial waivers or ABN's that must be signed at least two hours prior to testing or infusion. - Contacts patients the evening prior to their procedure if authorization is not obtained to give them the option of rescheduling their study or signing a financial waiver. - Answers phone calls regarding authorizations or referrals. - Completes audit slips for registration errors. + INSURANCE VERIFICATION DUTIES: - Performs online and telephone authorization verification for surgical patients, patients considering pulmonary rehabilitation, and patients undergoing other medical procedures. - Sends patient letters documenting co-pay and deductible information. - Obtains authorizations for outpatient surgeries and invasive outpatient procedures that do not use the PHAS process. - Maintains appropriate documentation in Eclipsys. - Receives patient co-pay and deductible payments in the mail. Documents the payments in Eclipsys and prepares the deposit of these funds. - Assists pre-registration staff with insurance questions as needed. **Common Expectations:** + Ensures patient confidentiality. + Maintains established policies and procedures, objectives, quality assessment and safety standards. + Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation + Establishes and maintains files and records on an ongoing basis. + Opens and routes incoming mail; distributes correspondence and other material to staff. **Qualifications** **Minimum Education:** + High School Diploma or GED Required **Work Experience:** + 1 year Medical insurance experience. Required **Courses and Training:** + Medical terminology. within 180 days Required **Benefits Offered:** + Comprehensive health benefits + Flexible spending and health savings accounts + Retirement savings plan + Paid time off (PTO) + Short-term disability + Education assistance + Financial education and support, including DailyPay + Wellness and Wellbeing programs + Caregiver support via Wellthy + Childcare referral service via Wellthy WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest. **Quality of Life** Located in Lewisburg, Pennsylvania, WellSpan Evangelical shares its picturesque, riverside home with Bucknell University-providing access to the arts, entertainment and sporting events while maintaining a small-town setting. The local school district ranks among the best in the state in academics, athletics and the arts. Despite its tranquil, rural setting, Lewisburg is just three hours from New York City and Philadelphia and four hours from Pittsburgh. The region is home to the majestic Susquehanna River. We are also surrounded by state parks, scenic country roads, abundant fishing streams and year-round recreational opportunities. The region also offers a number of land and water trails. Photo Courtesy Susquehanna River Valley Visitors Bureau/VisitCentralPA.org WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.