NOVA Admissions Representative - Full Time, Days

Guidehouse Inc.; United States; Remoto; USD 38.000 - 64.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Parental Leave

Tuition Reimbursement

Employee Referral Program

Descrizione del lavoro

Guidehouse Inc. is seeking a Remote Admitting Representative to handle insurance notification, verification, and pre-certification to secure accounts. You will interact with insurance companies, patients, physician offices, and hospital departments to document accounts and collect deposits as required.

The role is full-time and 100% remote, with a schedule of 8:30am to 5:00pm, Monday to Friday. Prior experience in patient access and billing is preferred.

Competenze

• High School Diploma or GED or 3+ years of relevant experience.
• 1-3 years of experience in patient access, billing, cash collections or pre-certification.
• Working knowledge to obtain authorizations and read EOBs.

Mansioni

• Perform insurance notification, verification and authorization to secure accounts.
• Prioritize work by financial risk and completeness, handling inpatient and ambulatory admissions.
• Coordinate with physicians, hospital staff and insurers to ensure accounts are secure.
• Explain financial requirements to patients and collect deposits or deductibles.
• Document accounts thoroughly in the system per standards.

Conoscenze

Insurance verification

Authorization

Patient access

Communication with patients

Formazione

High School Diploma or GED

Strumenti

EOB reading

Descrizione del lavoro

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.
• 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.

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 :

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.

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