NOVA Representative

Guidehouse•Birmingham, AL

1d•Onsite

About The Position

The NOVA Representative is responsible for performing insurance notification, verification, and authorization activities to financially secure accounts. This role involves prioritizing work based on financial risk and completing these tasks for inpatient, Ambulatory Surgery, and bedded outpatient admissions using the HQ work list. The representative will coordinate with referring physician/hospital clinical staff and insurance companies to ensure accounts are secure prior to admission and post-admission. They will also explore options to secure accounts when problems arise, maintain thorough system documentation, and communicate with various parties to complete account documentation requirements. Additionally, the role involves explaining financial requirements to patients, collecting deposits and deductibles, and informing management if an account is not secure prior to admission. The representative must act in a caring and courteous manner, providing helpful and friendly assistance.

Requirements

High School Diploma or equivalent
1-3 years of experience in patient access, billing, cash collections, insurance and/or pre-certification OR 3 years directly related experience in a hospital.

Nice To Haves

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

Responsibilities

Performs insurance notification, verification, and authorization activities necessary to financially secure accounts.
Completes notification, verification, & authorization for all inpatient, Ambulatory Surgery and bedded outpatient admissions utilizing the HQ work list as the primary work driver.
Coordinates with and disseminates information to referring physician/hospital clinical staff and the insurance company to ensure that scheduled accounts are secure prior to admit and non-scheduled accounts are secure 24 hours post admit.
Aggressively explores all possible options to secure an account when problems arise (i.e. contacting physician office, referencing past visits, contacting patient, etc.).
Responsible for thorough system documentation according to established standards.
Communicates with insurance companies, patients, physician offices and/or other hospital departments to complete account documentation requirements.
Responsible for securing patient accounts.
Explains financial requirements to patient or other responsible party.
Collects deposits and deductibles.
Informs Patient Access management, registration staff and physician if account is not secure prior to admission.
Acts in a caring and courteous manner to all patients, guests, visitors, students, and staff.
Provides helpful and friendly assistance in a timely manner.
Demonstrates caring behavior by utilizing positive interpersonal skills.
Effectively responds to inquiries with a pleasant expression, maintaining eye contact, etc.

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program