Pre-Arrival Unit Representative

Healthier Mississippi People; Jackson (MS); On-site; USD 38,000 - 54,000; Full time

Job summary

Healthier Mississippi People is seeking a Pre-Arrival Unit Representative in the United States to support seamless patient care by securing necessary authorizations and verifying eligibility and coverage. You will interact with patients, insurers, and internal teams to ensure timely pre-certifications and NOA processing.

The role requires strong communication, confidentiality, and organizational skills, plus basic proficiency in Word/Excel and data entry.

Qualifications

• Obtains necessary authorizations and verifies eligibility and coverage.
• Maintains confidentiality and HIPAA compliance.
• Good verbal and written communication skills.
• Maintains professional standards.
• Effective organizational skills.
• Basic computer skills, including proficiency in Microsoft Word and Excel, and basic data entry.

Responsibilities

• Verify patient insurance eligibility and coverage.
• Maintains strict confidentiality and adheres to HIPAA guidelines and regulations.
• Leverage CPT and diagnosis codes to obtain authorizations.
• Obtain approval for services scheduled by external providers.
• Pre-certify services requiring authorization in a timely manner.
• Pre-certify outpatient procedures when applicable.
• Complete Notification of Admission (NOA) promptly.
• Communicate with patients, insurers, and relevant parties regarding verification and authorization.
• Provide updates to team members and leadership as needed.
• Strong written and verbal communication skills.

Skills

Verifying insurance eligibility

HIPAA compliance

Written communication

Organizational skills

Microsoft Word & Excel

Data entry

Education

High school diploma

Associate degree or related experience preferred

Tools

Microsoft Word

Microsoft Excel

Job description

Job Summary

The Pre-Arrival Unit Representative plays a crucial role in ensuring seamless patient care by obtaining necessary authorizations and verifying eligibility and coverage. They communicate with internal and external stakeholder, maintain confidentiality, and contribute to process improvement.

Job Summary

The Pre-Arrival Unit Representative plays a crucial role in ensuring seamless patient care by obtaining necessary authorizations and verifying eligibility and coverage. They communicate with internal and external stakeholder, maintain confidentiality, and contribute to process improvement.

Knowledge, Skills & Abilities

Ensures seamless patient care by obtaining necessary authorizations and verifying eligibility and coverage. Ability to maintain confidentiality. Good verbal and written communication skills. Maintains professional standards. Effective organizational skills. Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry.

Responsibilities

• Verify patient insurance eligibility and coverage.
• Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations.
• Leverage available information (e.g., CPT codes, diagnosis codes) to obtain authorizations.
• Obtain approval for services scheduled by external providers.
• Pre-certify services requiring authorization in a timely and efficient manner.
• Timely pre-certify outpatient procedures when applicable.
• Complete Notification of Admission (NOA) promptly to notify relevant payers about patient admissions.
• Communicate with patients, insurers, and relevant parties regarding insurance verification and authorization.
• Communicate updates and address questions on work progress to team members, leadership, and external departments.
• Strong written and verbal communication skills.

Environmental And Physical Demands

Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, no activities subject to significant volume changes of a seasonal/clinical nature, occasional work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, occasional lifting/carrying up to 50 pounds, occasional lifting/carrying up to 75 pounds, occasional lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, no climbing, no crawling, occasional crouching/stooping, occasional driving, occasional kneeling ,occasional pushing/pulling, frequent reaching, frequent sitting, frequent standing, occasional twisting, and frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Requirements

Education & Experience

High school diploma or equivalent required. One (1) year of experience in healthcare insurance verification is required. Associate degree or equivalent combination of related education and experience preferred. Knowledge of medical terminology, diagnosis, and CPT coding preferred.

Certifications, Licenses or Registration Required

N/A