NOVA Admissions Representative | Full Time, Days

Guidehouse•Birmingham, AL
•$38,000 - $64,000•Remote

About The Position

Under the direction of the Patient Access Registration Manager, the Admissions Representative performs insurance notification, verification, and authorization activities to financially secure patient accounts. The role involves working with insurance companies, patients, physician offices, and other hospital departments to complete and document account requirements. The representative explains financial requirements to patients or responsible parties and collects deposits or deductibles as needed. This is a full-time, 100% remote position scheduled for 8:30 a.m. to 5:00 p.m., Monday through Friday. The schedule may change based on hospital census and business needs.

Requirements

  • High school diploma or GED, or at least 3 years of relevant experience in lieu of education.
  • 1–3 years of experience in patient access, billing, cash collections, health insurance, and/or pre-certification.
  • Working knowledge of how to obtain authorizations.
  • Working experience reading EOBs.

Nice To Haves

  • Ability to type a minimum of 35 WPM.
  • Familiarity with medical terminology.
  • CPAR or CHAA certification.

Responsibilities

  • Perform insurance notification, verification, and authorization activities to financially secure accounts.
  • Prioritize work based on financial risk and difficulty, and complete notification, verification, and authorization for inpatient, Ambulatory Surgery, and bedded outpatient admissions, using the HQ work list as the primary work driver.
  • Coordinate with and share information with referring physician and hospital clinical staff and insurance companies to secure scheduled accounts before admission and non-scheduled accounts within 24 hours after admission.
  • Explore available options to secure accounts when problems arise, including contacting physician offices, reviewing past visits, and contacting patients.
  • Document accounts thoroughly in the system according to established standards.
  • Communicate with insurance companies, patients, physician offices, and other hospital departments to complete account documentation requirements.
  • Explain financial requirements to patients or responsible parties and collect deposits and deductibles.
  • Inform Patient Access management, registration staff, and physicians when an account is not secure before admission.
  • Provide caring, courteous, helpful, and timely assistance to patients, guests, visitors, students, and staff, and respond to inquiries with positive interpersonal skills.

Benefits

  • Medical, prescription, dental, and vision insurance.
  • Personal and family sick time and company-paid holidays.
  • Position may be eligible for a discretionary variable incentive bonus.
  • Parental leave.
  • 401(k) retirement plan.
  • Basic life and supplemental life insurance.
  • Health Savings Account and dental, vision, and dependent-care Flexible Spending Accounts.
  • Short-term and long-term disability.
  • Tuition reimbursement, personal development, and learning opportunities.
  • Skills development and certifications.
  • Employee referral program.
  • Corporate-sponsored events and community outreach.
  • Emergency back-up childcare program.
  • Flexible benefits package.
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