NOVA Admissions Representative | Full Time, Days

Guidehouse; Oregon; Hybrid; USD 38,000 - 64,000; Full time

Benefits offered by this job

Medical Insurance

401(k) Plan

Paid Holidays

Paid Time Off

Job summary

Guidehouse is seeking an Admitting Representative to manage insurance notification, verification, and authorization to financially secure accounts. You will interact with insurers, patients, physician offices, and hospital staff to document accounts and explain financial requirements.

The role is full time and 100% remote with a Monday–Friday 8:30am–5:00pm schedule. Experience in patient access, billing, and pre-certification is preferred.

Qualifications

• Experience in patient access, billing, cash collections and/or pre-certification.
• Ability to read EOBs and work with insurers.

Responsibilities

• Notify, verify, and authorize to secure accounts.
• Document accounts and communicate with insurers, patients and physicians.
• Explain financial requirements to patients and collect deposits/deductibles.
• Prioritize work by financial risk and drive secure admissions 24h post-admit when needed.
• Maintain thorough system documentation and inter-department communication.

Skills

Insurance verification

Authorization knowledge

Customer service

Education

High School Diploma or GED

3+ years relevant experience in lieu of education

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

Type: 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#

The annual salary range for this position is $38,000.00-$64,000.00.

What We Offer

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• 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 or via email at . 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 . 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 . 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.