NOVA Representative

Guidehouse; Birmingham (AL); On-site; USD 33,000 - 46,000; Full time

Benefits offered by this job

Medical Insurance

401(k) Retirement Plan

Paid Holidays

Parental Leave

Health Savings Account

Job summary

United States Digital Space LLC is seeking an Admitting Representative to manage insurance notification, verification, and authorization to secure hospital accounts. You will coordinate with physicians, hospital staff, and insurers to ensure accounts are secured before admission and follow up within 24 hours for non-scheduled cases.

The role requires strong communication, 35 WPM typing, and familiarity with medical terminology.

Qualifications

• High School Diploma or equivalent is required.
• 1-3 years of experience in patient access, billing, cash collections, insurance and/or pre-certification OR 3 years directly related experience in a hospital.
• Typing speed of at least 35 WPM preferred.
• Familiarity with medical terminology
• CPAR or CHAA certification is a plus.

Responsibilities

• Perform insurance notification, verification, and authorization to secure accounts.
• Coordinate with referring physician/hospital staff and insurance company to ensure accounts are secured prior to admission (and within 24 hours for follow-up).
• Communicate with patients to explain financial requirements and collect deposits/deductibles as needed.
• Document thoroughly according to standards and inform management of insecure accounts.
• Provide courteous customer service to patients and hospital staff at all times.

Skills

Typing 35 WPM

Medical terminology

Education

High School Diploma or equivalent

CPAR or CHAA certification

Job description

Job Family:

Admitting RepresentativeTravel Required:

NoneClearance Required:

None

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 equivalent

• 1-3 years of experience in patient access, billing, cash collections, insurance and/or pre-certification OR 3 years directly related experience in a hospital.

What Would Be Nice to Have:

• Ability to type a minimum of 35 WPM.

• Familiarity with medical terminology

• CPAR or CHAA certification

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What We Offer:

the company 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 the company

the company is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

the company 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 the company 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.

the company does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of the company and the company will not be obligated to pay a placement fee.