Insurance Review Clerk: Ensures the accuracy and... [+] More
Insurance Review Clerk: Ensures the accuracy and completeness of insurance policies and applications, and performs a wide variety of other clerical duties for organizations providing insurance or organizations that are recipients of insurance payments. Examines insurance applications to ensure that all questions have been answered. Assists in identifying problems and checks that the insurance information is accurate. Verifies insurance policy benefit information. Ensures insurance information and appropriate referrals have been completely and accurately obtained. Identifies special policy clauses or pre-existing conditions and verifies effective date of policies.
Verifies insurance policy benefits for new and returning patients with carriers and employers. Ensures all insurance information has been completely and accurately obtained. Documents all pertinent insurance information. Obtains authorization/pre-certification prior to the patient's visit or scheduled admission, or immediately following admission. Documents information given or received to support actions taken on insurance charges or referral issues. Educates patients and families on insurance issues. Communicates patient's fiscal responsibility in a professional manner. Notifies appropriate work units of patient's insurance coverage, authorizations, or status. Identifies all patients without third party financial benefits and directs them for financial counseling according to policies and procedures. Receives and reviews contracts to understand the contract provisions. Interprets managed care contracts for insurance coverage. Provides support to revenue cycle work units and other work units as assigned. May correspond with sales personnel to inform them of status of application being processed, and to encourage prompt delivery of policies to policyholders. May collect initial premiums and issue receipts. May compile periodic reports on new business for management. Performs other duties as assigned. (Source: eDOT Job Description) [-] Less
Cost of Living Data
A renter's cost of living for someone making $36,657 in Fall River, Massachusetts is 122.1% of the US National Average. For more information, or to compare cost of living data between two cities, click here.
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