Strong customer service skills and patients/customers centered focus in a positive manner in all situations Experience PREFERRED: Previous experience using GE-IDX Patient Registration or other medical billing/registration system Previous experience in ICD and CPT coding Previous experience using medical terminology Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Post high school education in healthcare or medical billing coursework Independent action(s) required: Collects and updates patient demographic and insurance plan information Verifies insurance plan eligibility and benefits using multiple system and web-based tools, as well as calling payer and patient as necessary Calculates out-of-pocket liability and collects required deposits, co-pays, deductibles and outstanding balances from patient prior to service Refers patients to financial counselors when assistance needed to identify alternate payer source or establish payment plan Contacts in-house and community primary care physicians to secure PCP referral for consult and treatment as required by health plan Contacts health plan to secure prior authorization for procedures/testing as required by health plan Coordinates peer-to-peer review between VCUHS physicians and health plan medical directors to secure prior authorization for services Prepares all forms required to obtain payment from third party payer for services Determines when appropriate to apply additions/revisions to patient account and current visit Maintains thorough knowledge of commercial, managed care and governmental health care plans Maintains thorough knowledge of insurance plan authorization and referral requirements Supervisory responsibilities (if applicable): N/A Additional position requirements: May require work hours to periodically extend to 8:00 p.m. Licensure, Certification, or Registration Requirements for Hire: N/A Licensure, Certification, or Registration Requirements for continued employment: N/A Experience REQUIRED: Minimum three (3) years of previous experience in a health care setting to include: Experience in commercial, managed care and governmental health insurance plans and One (1) year experience in insurance plan authorization and referral requirements; or Medical billing Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc.