Financial Investigations Representative

Kingston, New York, To fully investigate insurance coverage and patient liability in order to assist the Credit Manager with cash recovery. RESPONSIBLITLIES: Conducts insurance verification for assigned pre-registrations to validate insurance data, identify patient responsibility and confirm proper authorization is obtained. Where appropriate, communicates discrepancies to appropriate department or manager. Utilizes all tools and resources currently available to streamline the workflow of financial assessment, including Omnipro, Epaces, Relay Health, telephone and otherinternet sources. Identifies copay/deductible responsibilities and documents this within the system to facilitate collection efforts by the Registration area. Works collaboratively with Central Registration, Scheduling and Patient Accounting to communicate errors, facilitate education, training and provide support to maintain consistency and insurance accuracy within the workflow. Prioritizes insurance verification needs and registration support to facilitate the data processing required for add-on and stat procedures in accordance with department protocol. When necessary, contacts physician offices for authorization and insurance information. Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism.

Adheres to the departmental dress code policy and maintains a professional appearance and positive attitude. Promotes cooperative relationships with other departments with the intention of enhancing services to customers, including but not limited to: patients, clinicians, physicians, and support staff. Communicates effectively within the department and keeps management informed on key issues. Performs other related duties as assigned by Department Management. Experience: Insurance knowledge Education: High School diploma Licenses/Certifications: N/A About Us: HealthAlliance Hospital

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