Pre-Arrival Unit Representative

University of Mississippi Medical Center • Clinton, MS

1d • Onsite

About The Position

The Pre-Arrival Unit Representative plays a crucial role in ensuring seamless patient care by obtaining necessary authorizations and verifying eligibility and coverage. They communicate with internal and external stakeholders, maintain confidentiality, and contribute to process improvement.

Requirements

• High School Diploma/GED
• One (1) year of healthcare experience.
• Ability to maintain confidentiality.
• Good verbal and written communication skills.
• Maintains professional standards.
• Effective organizational skills.
• Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry.

Responsibilities

• Verify patient insurance eligibility and coverage.
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
• Leverage available information (e.g., CPT codes and diagnosis codes) to obtain authorizations.
• Obtain approval for services scheduled by external providers.
• Pre-certify services requiring authorization in a timely and efficient manner.
• Pre-certify outpatient procedures in a timely manner when applicable.
• Complete Notification of Admission (NOA) promptly to notify relevant payers of patient admissions.
• Communicate with patients, insurers, and relevant parties regarding insurance verification and authorization.
• Provide updates and address questions regarding work progress with team members, leadership, and external departments.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees