REP, PRE SERVICES

Pomona Valley Hospital Medical Center•POMONA, CA

About The Position

Provide efficient, accurate, and effective customer-focused communication services to enhance the patient experience. Pre-register, schedule, cancel, and reschedule patient appointments. Verify patient medical insurance benefits, eligibility, and benefits, and obtain pre-authorizations, pre-certifications, and referrals in a timely manner. Ensure that all account activity is documented thoroughly and promptly. Communicate payor requirements to patients to support compliance. Confirm that all necessary referrals, pre-certifications, and authorizations for scheduled services are on file and valid for the scheduled procedures. May perform other duties as assigned. The hourly salary range is $23.33–$32.83, commensurate with experience. Eligible employees who work qualifying weekend shifts receive a competitive weekend rate.

Requirements

  • High school diploma or equivalent.
  • At least 2 years of experience in a hospital or medical office setting, including registration knowledge.
  • Knowledge of medical terminology.
  • Experience using a PC, fax, telephone, scanner, copy machine, Microsoft Office, and Outlook.
  • Knowledge of CPT and HCPC codes.

Nice To Haves

  • Some completed college coursework in business communication or data entry.
  • At least 1 year of experience with insurance verification in a healthcare setting.
  • At least 1 year of experience scheduling patient appointments.
  • Working knowledge of insurance and billing requirements and county, state, and charity aid programs.
  • Computer literacy and knowledge of applications related to admitting functions.

Responsibilities

  • Provide efficient, accurate, customer-focused communication services to enhance the patient experience.
  • Pre-register patients and schedule, cancel, and reschedule appointments.
  • Verify patient medical insurance benefits and eligibility, and process pre-authorizations, pre-certifications, and referrals in a timely manner.
  • Document all account activity thoroughly and promptly.
  • Communicate payor requirements to patients to support compliance.
  • Validate that referrals, pre-certifications, and authorizations required for scheduled services are on file and valid for the scheduled procedures.
  • Perform other duties as assigned.

Benefits

  • Eligible employees working qualifying weekend shifts receive a competitive weekend rate.
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