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Northern Arizona Healthcare
Northern Arizona Healthcare
1,001 – 5,000 Employees
H1B Visa SponsorHealthcareHealthcare InsurancePharmaceuticals
Northern Arizona Healthcare is a comprehensive healthcare organization focused on improving health and supporting healing in the community. Its services include emergency care, specialty care, surgical programs such as bariatric surgery, and primary care clinics. The organization also provides health education and participates in community initiatives that promote wellness and increase awareness of health services.
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Full-Time Admissions Counselor — Flagstaff, AZ (Onsite)

Manage patient admissions, registration, insurance verification, authorizations, and financial counseling for Northern Arizona Healthcare’s hospital revenue-cycle operations in Flagstaff.

USUnited StatesAZArizonaOn-siteFull-timeLeadEnglish RequiredCounselor

Description

  • Gather and verify patient demographic and insurance details in the electronic medical record throughout scheduling, pre-admission, and admission.
  • Confirm insurance benefits, record eligibility and coverage information, and submit authorization notifications.
  • Obtain approvals for surgical, specialized interventional, inpatient, and observation services.
  • Counsel patients on insurance coverage, personal financial responsibility, alternative payer options, and available financial assistance.
  • Register patients, schedule appointments, enter clinical and insurance information, explain procedures and instructions, and obtain required signatures.
  • Complete medical-necessity reviews and obtain Advance Beneficiary Notice documentation.
  • Record patient interactions, orders, insurance checks, financial counseling activity, and payments.
  • Initiate and maintain documentation of insurance eligibility, benefits, and authorization requirements.
  • Explain procedure costs, financial assistance, and payment options; collect patient balances and reconcile payments.
  • Prepare charge estimates and resolve scheduling, registration, and financial-assistance concerns.
  • Help patients complete AHCCCS applications and track follow-up for financial counseling.
  • Answer department calls and serve as a subject-matter resource for clinical teams.
  • Coordinate registration, financial counseling, insurance coverage, and benefit-limit information with nursing units and Care Management.
  • Review and analyze revenue-cycle reports and work queues for accuracy, compliance, and completion.
  • Report safety events, complete required training, and follow applicable regulations and organizational policies.

Requirements

  • High school diploma or GED is required.
  • At least two years of customer service experience is required.
  • Proficiency with Microsoft Excel, Word, and PowerPoint is required.
  • Basic computer literacy and the ability to use standard software applications are required.
  • An associate degree is preferred.
  • Three to five years of experience in a medical facility, health insurance, or a related medical field is preferred.
  • Coursework in medical terminology is preferred.
  • Typing speed of at least 50 words per minute is required.
  • Strong knowledge of EMTALA and HIPAA privacy and patient-confidentiality requirements is required.
  • Advanced knowledge of CPT and ICD-10 coding, as well as physician order documentation, is required.
  • Familiarity with Medicare, AHCCCS/Medicaid, workers’ compensation, and other commercial payer requirements is required.

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