PreArrival Associate - Goshen Radiology - FT Days
About The Position
The PreArrival Associate facilitates patient access for hospital services by verifying insurance eligibility, obtaining required pre-certifications and medical-necessity information, and completing patient pre-registration for scheduled services. The role communicates with the Financial Clearance Associate about uninsured patients and patients with copayment obligations that should be addressed before the day of service. It also provides customer service to physician offices, other departments, and patients while protecting the privacy of patient health information. The position is based at Goshen Campus in Edwardsville, Illinois. It is full-time at 80 hours, on the day shift, and the listed hourly salary range is $16.00–$24.75.
Requirements
- High school diploma or equivalent.
- Prior Patient Access experience.
- Prior customer service experience.
- Typing speed of 40–50 words per minute.
- One to two years of registration experience.
- Detailed knowledge of insurance companies.
- Excellent communication and customer service skills.
- Computer and organizational skills.
Nice To Haves
- Medical Terminology course or background preferred.
- Collection experience is a plus.
Responsibilities
- Obtain patient personal and insurance information to verify eligibility, pre-certification requirements, financial obligations, and medical necessity before creating pre-registration records.
- Use phone calls and online databases to verify insurance coverage and obtain benefit information, including deductible and copayment amounts.
- Work with physician offices to obtain pre-certification information before the day of service and document it in the patient pre-registration record.
- Obtain an additional diagnosis when a test does not meet medical-necessity requirements.
- Notify the Financial Clearance Associate about patients with financial obligations due before the day of service and patients who need financial counseling.
- Identify physicians missing from the registration physician dictionary and forward their information to HIM for addition.
- Coordinate day-of-service pre-registrations for patient access staff.
- Assist scheduling staff with add-on or walk-in patients by determining insurance eligibility and whether tests require pre-certification before service.
- Complete record quality improvements indicated by the RQi quality-improvement tool in a timely and efficient manner.
- Perform other duties and assignments related to the position.
- Provide customer service to physician offices, other departments, and patients while protecting patient health information.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
