PreServices Representative - Rehabilitation Services - Bon Secours St. Francis Hospital

Roper St. Francis Healthcare • Charleston, SC

17h • Onsite

About The Position

The PreServices Representative provides administrative support for the day-to-day operations of the Rehabilitation Services department and serves as a resource to therapists for the electronic documentation system. The role includes filing, data entry, word processing, ordering supplies, answering phones, scheduling patient treatment sessions, and providing customer service to patients upon arrival. The representative gathers information from patients or responsible parties to complete registration, verify insurance, and obtain pre-certifications and authorizations for visits.

The position prepares patient charts, verifies referral and insurance information, schedules appointments, checks patients in, and follows up on insurance benefits and account status. It also coordinates insurance authorization submissions and tracks authorization limits and expiration dates, communicating with therapists and patients as needed. The representative communicates with physicians’ offices and other departments regarding referrals, progress notes, plans of care, discharges, and patient-care questions. The role also reviews electronic medical record reports and queues to identify and resolve account conflicts, unsigned notes, and documentation issues so that patient account information, charges, billing, and follow-up are accurate and complete.

Requirements

• High school degree or equivalent education.
• Strong verbal communication skills, including good voice quality, diction, and articulation.
• Ability to communicate effectively with people from varying cultural and educational backgrounds.
• Strong math skills.
• Ability to handle multiple support systems.
• Customer-service skills and the ability to work well with the public and adopt a customer perspective.
• Ability to deal diplomatically and respectfully with customers in person and by telephone.
• Detail orientation and good organizational skills.
• Ability to manage multiple priorities and deadlines.
• Ability to work with little to no supervision and exercise independent judgment.
• Ability to maintain strict confidentiality of patient and other sensitive information.

Nice To Haves

• At least one year of experience in customer service or a call center in a patient financial healthcare setting.
• Strong understanding of insurance benefits.
• Medical terminology.
• Proficiency with computers, PC and Windows, multi-line phone systems, and headsets.

Responsibilities

• Provide administrative support for Rehabilitation Services operations, including filing, data entry, word processing, ordering supplies, answering phones, and scheduling treatment sessions.
• Provide customer service to patients upon arrival and gather information needed to complete registration and verify insurance.
• Verify evaluation, referral, insurance, and account information in the applicable systems and prepare patient charts and paperwork.
• Check patients in, confirm insurance information has not changed, and review insurance benefits, visit limits, and expiration dates.
• Schedule patients and handle telephone inquiries, messages, and issues in a timely manner.
• Obtain insurance authorizations by gathering required documentation and submitting information online, by phone, or by fax as appropriate.
• Check authorization status daily, record approvals, notify patients and therapists, and arrange follow-up appointments after approval.
• Track authorizations, remaining visits, and end dates, and coordinate with therapists about additional authorization needs or discharge.
• Communicate with referring physician offices and other departments regarding referrals, plans of care, progress notes, discharges, missed initial evaluations, and patient-care questions.
• Review electronic medical record reports and queues for account conflicts, unsigned notes, and insufficient medical-necessity documentation, and work to resolve issues promptly.
• Maintain confidentiality of patient demographic, personal, and financial information.

Benefits

• Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
• Medical, dental, vision, and prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts.
• Paid time off, parental and FMLA leave, and short- and long-term disability.
• Tuition assistance, professional development, and continuing education support.

What This Job Offers

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