Pre-Service Representative
Location
United States
Posted
2 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Pre-Service Representative
Ochsner Health
Role Description This job is responsible for assisting patients by communicating with insurance payors via various methods (i.e. telephone, fax, internet) to determine eligible benefits and acquiring Pre-Certification(s) when deemed necessary by the insurance payor. Additionally responsible for communicating the liability to the patient after the Pre-Certification has been obtained and ensuring the Pre-Service process has been completed in advance of the patient’s arrival for scheduled service(s). To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Qualifications - Required: High School diploma or equivalent - Preferred: Associates Degree or Bachelor Degree Requirements - Required: 1 year related experience in related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job - Preferred: Experience with EPIC - Must have computer skills and dexterity required for data entry and retrieval of patient information. - Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. - Must be proficient with Windows-style applications, keyboard, and various software packages specific to role. - Strong interpersonal skills. - Ability to multi-task. - Ability to perform effectively in a fast-paced ever-changing environment. - Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations. - Reliable transportation to travel to other facilities to fill in as needed. Benefits - Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. - This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. Physical and Environmental Demands - Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. - Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. - The incumbent has no occupational risk for exposure to communicable diseases. - There may be occupational risk for exposure to hazardous medications or hazardous waste within the environment.
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