NOVA Admissions Representative | Full Time, Days

US104 Guidehouse Managed Services LLC; Birmingham (AL); Hybrid; USD 38,000 - 64,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Parental Leave

Tuition Reimbursement

Employee Development

Company Holidays

Job summary

Guidehouse is seeking a qualified Admitting Representative to handle insurance notification, verification, and authorization to financially secure accounts. The role involves interacting with insurance companies, patients, physician offices, and hospital departments, explaining financial requirements, and collecting deposits or deductibles as needed.

The position is full-time and 100% remote, with an 8:30am–5:00pm Monday–Friday schedule.

Qualifications

• Requires experience in patient access, billing, cash collections and/or pre-certification.
• Experience reading Explanation of Benefits (EOBs) and obtaining authorizations.

Responsibilities

• Perform insurance notification, verification, and authorization to financially secure accounts.
• Prioritize work based on financial risk and complete authorizations for inpatient, outpatient, and bedded admissions.
• Coordinate with physicians, hospital staff, and insurance companies to secure accounts prior to admission and within 24 hours post-admission.
• Document thoroughly in the system and communicate with relevant parties to secure accounts.

Skills

Insurance notification

Insurance verification

Authorization processing

Education

High School Diploma or GED

CPAR or CHAA certification

Job description

Job Family

Admitting Representative Travel Required: None Clearance Required: None

What You Will Do:

Under the direction of the Patient Access Registration Manager, this position is primarily responsible for all insurance notification, verification, and authorization activities necessary to financially secure accounts. Responsibilities include interacting with insurance companies, patients, physician offices and other hospital departments to thoroughly document accounts. Explains financial requirements to patient or other responsible party and collects deposits or deductibles as required. Position Tye: Full Time, 100% Remote Schedule: 8:30am - 5:00pm, Monday - Friday Please Note: Schedule is subject to change based on hospital census and the needs of the business.

Responsibilities and Duties:

• Performs insurance notification, verification, and authorization activities necessary to financially secure accounts.
• While appropriately prioritizing work based on financial risk / difficulty, incumbent completes notification, verification, & authorization for all inpatient, Ambulatory Surgery and bedded outpatient admissions utilizing the HQ work list as the primary work driver.
• In a courteous manner, coordinates with and disseminates information to referring physician/hospital clinical staff and the insurance company to ensure that scheduled accounts are secure prior to admit and non-scheduled accounts are secure 24 hours post admit.
• Aggressively explores all possible options to secure an account when problems arise (i.e. contacting physician office, referencing past visits, contacting patient, etc.). Responsible for thorough system documentation according to established standards.
• Communicates with insurance companies, patients, physician offices and/or other hospital departments to complete account documentation requirements Responsible for securing patient accounts.
• Responsible for securing patient accounts: Explains financial requirements to patient or other responsible party. Collects deposits and deductibles. Aggressively explores all possible options as a means of securing an account when problems arise. Informs Patient Access management, registration staff and physician if account is not secure prior to admission. Coordinates with and disseminates information to referring physician/hospital clinical staff and insurance company to secure scheduled accounts prior to admission and non-scheduled accounts within 24 hours following admission. Acts in a caring and courteous manner to all patients, guests, visitors, students, and staff. Provides helpful and friendly assistance in a timely manner. Demonstrates caring behavior by utilizing positive interpersonal skills. Effectively responds to inquiries with a pleasant expression, maintaining eye contact, etc. Caring and courteous behavior will be measured by the number of complaints received in a 12-month period. No more than two complaints are considered satisfactory.

What You Will Need:

• High School Diploma or GED or 3+ years of relevant experience in lieu of the education
• 1-3 years of experience in patient access, billing, cash collections, health insurance and/or pre-certification
• Working knowledge on how to obtain authorizations
• Working experience reading EOBs

What Would Be Nice To Have:

• Ability to type a minimum of 35 WPM.
• Familiarity with medical terminology
• CPAR or CHAA certification #IndeedSponsored #LI-DNI

The annual salary range for this position is $38,000.00-$64,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care
• Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [e-mail]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [e-mail]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [e-mail]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future. guidehouse.com