Under general supervision and according to established policies and procedures, the Patient Service Representative and Insurance Verifier provides pre-registrations, registrations, and order management. The role collects, analyzes, and records demographic, insurance/financial, and clinical data from multiple sources, and obtains information and signatures needed for these processes. It screens for third-party eligibility and enters medical necessity coding to help ensure accurate payment. The role also supports patients and families in understanding the hospital’s revenue cycle expectations, including resolving personal liabilities through available payment options. The position contacts third-party payers to verify benefits and confirm satisfaction of pre-certification requirements for services. It coordinates with physician offices on financial, coding, surgical scheduling, and insurance-benefit processes, while ensuring compliance with payer requirements and accurate registration.
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Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED