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PreReg/Insurance Verification Representative Full Time - Work From Home

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POST DATE 9/2/2016
END DATE 10/11/2016

HCA Healthcare San Antonio, TX

Company
HCA Healthcare
Job Classification
Full Time
Company Ref #
08949-124177
AJE Ref #
576067645
Location
San Antonio, TX
Experience
Mid-Career (2 - 15 years)
Job Type
Regular
Education
High School Diploma or GED

JOB DESCRIPTION

APPLY
Job Code: 08949-124177

Full-time

Work From Home

Parallon pioneered the modern-day concept of healthcare shared services more than 12 years ago, perfecting revenue cycle management best practices and customizable technologies for the industry s largest healthcare provider in 700+ facilities and 1000+ physician practices. Today, our team of more than 13,000 revenue cycle professionals applies unmatched expertise, scale and proven processes daily to improve financial performance and long-term sustainability at facilities nationwide.





JOB SUMMARY- Responsible for timely and accurate pre-registration and insurance verification. Accurately interprets managed care contracts.



Schedule: Wed to Fri 10a to 830p Sat 8a to 630p

DUTIES INCLUDE BUT ARE NOT LIMITED TO:

Perform pre-registration and insurance verification within 24 hours of receipt of reservation/notification for both inpatient and outpatient services

Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information therein

Contact physician to resolve issues regarding prior authorization or referral forms

Assign Iplans accurately

Perform electronic eligibility confirmation when applicable and document results

Research Patient Visit History to ensure compliance with payor specific payment window rules

Complete Medicare Secondary Payor Questionnaire as applicable for retention in Abstracting module

Calculate patient cost share and be prepared to collect via phone or make payment arrangement

Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment

Receive and record payments from patient for services scheduled.

Utilize appropriate communication system to facilitate communication with hospital gatekeeper

Perform insurance verification and pre-certification follow up for prior day s walk in admissions/registrations and account status changes by assigned facility

Utilize Meditech account notes and Collections System account notes as appropriate to cut and paste benefit and pre-authorization information and to document key information

Other duties as assigned



KNOWLEDGE, SKILLS & ABILITIES

COMMUNICATION - COMMUNICATES CLEARLY AND CONCISELY, VERBALLY AND IN WRITING

CUSTOMER ORIENTATION - ESTABLISHES AND MAINTAINS LONG-TERM CUSTOMER RELATIONSHIPS, BUILDING TRUST AND RESPECT BY CONSISTENTLY MEETING AND EXCEEDING EXPECTATIONS

INTERPERSONAL SKILLS - ABLE TO WORK EFFECTIVELY WITH OTHER EMPLOYEES, PATIENTS AND EXTERNAL PARTIES

PC SKILLS - DEMONSTRATES PROFICIENCY IN PC APPLICATIONS AS REQUIRED

POLICIES & PROCEDURES - DEMONSTRATES KNOWLEDGE AND UNDERSTANDING OF ORGANIZATIONAL POLICIES, PROCEDURES AND SYSTEMS

BASIC SKILLS - ABLE TO PERFORM BASIC MATHEMATICAL CALCULATIONS, BALANCE AND RECONCILE FIGURES, PUNCTUATE PROPERLY, SPELL CORRECTLY AND TRANSCRIBE ACCURATELY

EDUCATION

HIGH SCHOOL DIPLOMA OR GED REQUIRED

EXPERIENCE

AT LEAST THREE YEARS OF INSURANCE VERIFICATION EXPERIENCE PREFERRED



PARALLON IS AN EQUAL OPPORTUNITY EMPLOYER (EOE), MINORITY/FEMALE/VETERAN/DISABLED, OFFERING A GREAT WORK ENVIRONMENT, CHALLENGING CAREER OPPORTUNITIES, AND COMPETITIVE COMPENSATION.

LACK OF INFORMATION CAN DELAY THE APPLICATION PROCESS, AND THEREFORE APPLICANTS SHOULD BE THOROUGH IN COMPLETING THE ONLINE APPLICATION.

Last Edited: 09/01/2016