Tidelands Health-posted about 1 month ago
Full-time • Entry Level
Myrtle Beach, SC
501-1,000 employees
Hospitals

Join Team Tidelands and help people live better lives through better health! Pre-Services Representative II Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview The purpose of this position is to obtain prior authorizations or provide financial clearance for patients of Tidelands Health. This role is key to securing reimbursement and minimizing organizational write offs. The Pre-Services Representative must consistently demonstrate skilled communication and troubleshooting techniques as well as excellent customer service skills. This position will have the ability to anticipate and respond to a wide variety of issues/concerns, and the ability to execute tasks efficiently and effectively. The position requires the ability to independently plan, schedule and organize numerous tasks as this position directly impacts hospital and physician reimbursement. The Pre-Services Representative II is responsible for accurate and complete insurance verification, financial clearance and prior authorization, and complete pre-registration of all scheduled moderately complex procedures, while utilizing excellent customer services standards.

  • High School Diploma or equivalent Required
  • At least two (2) years of experience in Healthcare Revenue Cycle that includes prior authorization.
  • Ability to interact successfully with the public.
  • Ability to perform effectively despite sudden deadlines and changing priorities; maintaining personal composure in high stress situations require
  • Ability to demonstrate a high level of interpersonal skills required to interact with patients, patients' families/visitors and clinical staff required
  • Ability to perform with a high degree of accuracy and with meticulous attention to detail.
  • Demonstrate a strong ability to use initiative and judgment and to identify, analyze and solve problems required
  • Knowledge of CPT and ICD coding preferred.
  • Knowledge of Medicare and third-party payer regulations and guidelines highly desired
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