Pre Services Representative - Patient Financial Services | Full Time | Days

Concord Hospital Health System • Concord, NH

3d • Onsite

About The Position

The Pre Services Representative performs one or more revenue cycle functions, including pre-service scheduling and patient access, pre-registration, insurance verification, financial clearance, and denial management. The role is located at the S. Main Street Concord location and is scheduled for 40 hours per week, generally from 8:30 a.m. to 5:00 p.m., with flexibility to work until 6:00 p.m. as needed.

Requirements

• High school diploma or equivalent (GED).
• Prior knowledge and expertise in insurance policies and coverage, medical necessity, and prior authorization requirements.
• At least three years of experience in a healthcare or related environment.
• Working knowledge of medical terminology and Microsoft Office applications.
• Ability to navigate a Windows-based environment.
• Exceptional communication, critical-thinking, problem-solving, and interpersonal skills.
• Ability to work effectively on a team and independently.

Responsibilities

• Perform insurance authorization for elective outpatient radiology imaging and cardiovascular testing.
• Schedule, reschedule, and cancel appointments, entering data into Schapptbook according to program logic and scheduling guidelines.
• Handle phone calls professionally and efficiently in accordance with Pre Services department call standards.
• Use appropriate schedules and work lists to verify insurance benefits and approvals for outpatient imaging, elective procedures, surgical cases, and urgent or emergent admissions.
• Notify payers of patient admissions or placement in observation when required by payers.
• Manage faxes received in the Work Queue Monitor Program.
• Communicate and respond to patients, providers, payers, associates, business partners, and joint ventures using available tools, including PowerChart Message Center, email or secure email, and phones, to support accurate appointment scheduling and billing of encounters.
• Research and respond to requests for cost-of-care information.

What This Job Offers

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