Pre-Service Rep-Rehab Services-FT

Ochsner Health • New Orleans, LA

21h • Onsite

About The Position

This job is responsible for assisting patients by communicating with insurance payors via various methods (i.e. telephone, fax, internet) to determine eligible benefits and acquiring Pre-Certification(s) when deemed necessary by the insurance payor. Additionally responsible for communicating the liability to the patient after the Pre-Certification has been obtained and ensuring the Pre-Service process has been completed in advance of the patient’s arrival for scheduled service(s). Ochsner Health is committed to serving, healing, leading, educating, and innovating, believing that every achievement is due to dedicated employees.

Requirements

• High School diploma or equivalent
• 1 year related experience in related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job
• Must have computer skills and dexterity required for data entry and retrieval of patient information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Must be proficient with Windows-style applications, keyboard, and various software packages specific to role.
• Strong interpersonal skills.
• Ability to multi-task.
• Ability to perform effectively in a fast paced ever changing environment.
• Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations.
• Reliable transportation to travel to other facilities to fill in as needed.

Nice To Haves

• Associates Degree or Bachelor Degree
• Experience with EPIC

Responsibilities

• Prepares, validates and completes all steps necessary to clear new cases for pre-scheduled services, including validating and gathering insurance and demographic information.
• Interacts with insurance companies via website, phone, or fax to verify benefits, obtain authorizations, identify insurance guidelines, and facilitate communication.
• Gathers information to verify benefits and benefits eligibility by utilizing the EPIC system.
• Completes and obtains all necessary authorizations for the service(s) to be performed.
• Works with clinical providers, on-site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department.
• Performs Pre-Service collection estimation functions and communicates patient liability.
• Provides point-of-service information and logistics to ensure an exceptional patient experience.
• 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.
• Maintains and complies with the company's 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED