PreReg Insurance Verification Representative (PRN) St Davids Medical Center - St. David's Medical Center - Austin, TX

PreReg Insurance Verification Representative (PRN) St Davids Medical Center - St. David's Medical Center - Austin, TX -

– Accountable for well timed and correct pre-registration and insurance verification. Precisely interprets managed care contracts. DUTIES INCLUDE BUT ARE NOT LIMITED TO: Carry out pre-registration and insurance verification inside 24 hours of receipt of reservation/notification for each inpatient and outpatient providers Comply with scripted advantages verification and pre-certification format in Meditech customized advantages display and document advantages and pre-certification info therein Contact doctor to resolve points relating to prior authorization or referral varieties Assign Iplans precisely Carry out digital eligibility affirmation when relevant and doc outcomes Analysis Affected person Go to Historical past to make sure compliance with payor particular cost window guidelines Full Medicare Secondary Payor Questionnaire as relevant for retention in Abstracting module Calculate affected person value share and be ready to gather by way of telephone or make cost association Contact affected person by way of telephone (with as a lot advance discover as potential, ideally 48 hours previous to date of service) to verify or acquire lacking demographic info, quote/acquire affected person value share, and instruct affected person on the place to current at time of appointment Obtain and report funds from affected person for providers scheduled. Make the most of applicable communication system to facilitate communication with hospital gatekeeper Carry out insurance verification and pre-certification comply with up for prior day’s stroll in admissions/registrations and account standing modifications by assigned facility Make the most of Meditech account notes and Collections System account notes as applicable to chop and paste profit and pre-authorization info and to doc key info Different duties as assigned Qualifications KNOWLEDGE, SKILLS & ABILITIES Communication – communicates clearly and concisely, verbally and in writing Buyer orientation – establishes and maintains lengthy-time period buyer relationships, constructing belief and respect by persistently assembly and exceeding expectations Interpersonal expertise – in a position to work successfully with different staff, sufferers and exterior events PC expertise – demonstrates proficiency in PC purposes as required Insurance policies & Procedures – demonstrates information and understanding of organizational insurance policies, procedures and methods Primary expertise – capable of carry out primary mathematical calculations, stability and reconcile figures, punctuate correctly, spell appropriately and transcribe precisely EDUCATION Highschool diploma or GED required EXPERIENCE A minimum of three years of insurance verification expertise most popular Parallon is an Equal Alternative Employer (EOE), Minority/Feminine/Veteran/Disabled , providing an awesome work setting, difficult profession alternatives, and aggressive compensation. Lack of understanding can delay the appliance course of, and subsequently candidates must be thorough in finishing the web software.

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