Patient Service Representative/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. This includes collecting, analyzing, and recording demographic, insurance/financial, and clinical data from multiple sources, and obtaining other necessary information and signatures. The position involves screening for third-party eligibility and entering medical necessity coding to ensure accurate payment. It also ensures patient and family needs are met, and they understand the hospital’s revenue cycle expectations, including the resolution of personal liabilities through various payment options. The role requires contacting third-party payers for benefit verification and pre-certification satisfaction, coordinating with physician offices on financial, coding, and scheduling processes, and ensuring compliance with payer requirements and registration correctness.
Requirements
- High School Diploma or GED
- One year experience in obtaining authorization
- One year experience in verifying insurance benefits
- Knowledge with workers' compensation
- Knowledge of health insurances
- Knowledge of medical terminology and anatomy
- Strong data entry skills
- Strong 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 other information and signatures necessary for the above processes.
- Screening for third-party eligibility and entering medical necessity coding to ensure accurate payment.
- Ensuring the needs of patients and their families are met and that they understand the hospital’s revenue cycle expectations, including resolution of personal liabilities through various payment options.
- Contacting third party payers for verification of benefits and satisfaction of pre-certification requirement for services.
- Coordinating with physician offices on financial, coding, surgical scheduling processes, and coordination of insurance benefits.
- 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
