AltaPointe Health Systems Financial Planner in Mobile, Alabama

Primary Job Functions:

  • Process insurance verifications for Patient Accounting 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/or 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, 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.

ID: 2017-6242

Shift/Hours: 8-16:30

External Company Name: AltaPointe Health Systems

External Company URL: http://altapointe.org/