Patient Service Representative and Insurance Verifier - Rehab Services
About The Position
Under general supervision and according to established policies and procedures, this role is responsible for providing pre-registrations, registrations, and order management. The position involves collecting, analyzing, and recording demographic, insurance/financial, and clinical data from multiple sources, and obtaining other necessary information and signatures. Key responsibilities include screening for third-party eligibility, entering medical necessity coding to ensure accurate payment, and ensuring patient needs are met. The role also involves educating patients and families about the hospital’s revenue cycle expectations and payment options, contacting third-party payers for benefit verification and pre-certification requirements, and coordinating with physician offices on financial, coding, and scheduling processes. Ensuring compliance with payer requirements and accuracy of registration is also crucial.
Requirements
- High School Diploma or GED
- One year experience of obtaining authorization
- One year experience verifying insurance benefits
- Knowledge with workers' compensation
- Knowledge of health insurances
- Knowledge of medical terminology and anatomy
- Strong data entry and keyboarding skills
- Knowledge of Microsoft Office Suite
Nice To Haves
- Bilingual skills
Responsibilities
- Providing pre-registrations, registrations, and order management.
- Collecting, analyzing, and recording demographic, insurance/financial, and clinical data from multiple sources.
- Obtaining necessary information and signatures for registration processes.
- Screening for third-party eligibility and entering medical necessity coding.
- Ensuring patient and family needs are met and they understand revenue cycle expectations and payment options.
- Contacting third-party payers for verification of benefits and satisfaction of pre-certification requirements.
- Coordinating with physician offices on financial, coding, and surgical scheduling processes.
- Ensuring compliance with payer requirements and correctness of registration.
Benefits
- Premium pay such as shift, on call, holiday and more based on an employee’s job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
