Patient Service Representative/Insurance Verifier - Rehab Services
About The Position
Under general supervision and according to established policies and procedures, responsible for providing pre-registrations, registrations, order management. Collecting, analyzing and recording demographic, insurance/financial and clinical data from multiple sources and obtains other information and signatures necessary for the above processes. Screening for third-party eligibility and entering medical necessity coding to ensure accurate payment is secured. 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, coordination of insurance benefits. Ensuring compliance with payer requirements and correctness of registration.
Requirements
- High School Diploma or GED
- One year experience (required) of obtaining authorization, verifying insurance benefits and knowledge with workers' compensation.
- Knowledge of health insurances, medical terminology and anatomy.
- Strong data entry and keyboarding skills.
- Knowledge of Microsoft Office Suite.
Nice To Haves
- Bilingual skills, preferred.
Responsibilities
- Providing pre-registrations, registrations, order management.
- Collecting, analyzing and recording demographic, insurance/financial and clinical data from multiple sources and obtains other information and signatures necessary for the above processes.
- Screening for third-party eligibility and entering medical necessity coding to ensure accurate payment is secured.
- 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, 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
Part-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
