Pre-Service Rep- Financial Clearance Call Center- Remote

Ochsner Health•New Orleans, LA

3d•Remote

About The Position

This job is responsible for communicating financial liability with patients prior to their scheduled appointments to ensure compliance with the Financial Clearance Process. Responsibilities include both inbound and outbound patient calls, accepting payments, and pre-registering patient accounts by verifying demographic and insurance payer information. This position also involves communicating with clinical providers when required. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Requirements

High school diploma or equivalent
Minimum of 1 year of experience in a healthcare or related setting such as hospital, clinic, medical office, or in business service/revenue cycle (front-line registration, financial counseling, call center, or customer service).
Proficiency in Windows-based applications, EPIC, and accurate data entry/keyboard skills.
Effective verbal and written communication skills and ability to present information clearly and professionally; able to explain financial information to patient and staff.
Familiar with insurance benefits, authorizations, billing processes, and regulatory guidelines.
Able to stay calm and professional in stressful situations; strong problem-solving skills.
Strong interpersonal skills.
Good organizational, time management, and conflict resolution skills.
Works well with others, uses good judgement, maintains confidentiality, and can work independently.

Nice To Haves

Associates Degree or Bachelor’s degree in Healthcare
Experience using the Epic system

Responsibilities

Responds to patient inquiries regarding financial obligations for upcoming services through inbound and outbound calls.
Verifies patients’ demographics, insurance benefits and patient eligibility using EPIC and related systems.
Confirms insurance coverage for scheduled services and collects accurate demographic and financial data.
Provide patients with cost estimates, including co-pays, deductibles, self-pay amounts, and explain out of pocket responsibilities.
Educates patients on payment options and explains the financial impact of coverage alternatives.
Serves as a liaison between patients, guarantors, providers, and internal departments to ensure compliance with financial clearance processes.
Collects and documents patient and guarantor information accurately across systems.
Attempts to collect payment in advance of services, processes payments, reconciles accounts, and balances cash drawers per departmental procedures.
Delivers exceptional customer service to maintain high patient satisfaction and timely resolution of financial inquiries.
Performs other related duties as assigned.
Remains knowledgeable on current federal, state, and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations, and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.