REP, PRE SERVICES

Pomona Valley Hospital Medical Center; Pomona (CA); On-site; USD 32,000 - 45,000; Full time

Job summary

Pomona Valley Hospital Medical Center is seeking an efficient Patient Experience Associate to pre-register, schedule, cancel and reschedule appointments while ensuring accurate insurance verification and eligibility checks.

You will verify referrals and pre-authorizations, document all account activity, and inform patients of payor requirements to remain compliant. Weekend rate may apply for qualifying shifts.

Qualifications

• High school diploma or equivalent required.
• Minimum of 2 years' experience in a hospital or medical office setting with registration knowledge.
• Knowledge of CPT and HCPCS codes.

Responsibilities

• Pre-register, schedule, cancel and reschedule patient appointments.
• Verify patient medical insurance benefits and eligibility; handle pre-authorizations.
• Document all account activity thoroughly; communicate payor requirements for compliance.
• Ensure referrals, pre-certifications and authorizations are on file and valid for procedures.

Skills

Registration knowledge

Medical terminology

CPT/HCPCS codes

Microsoft Office & Outlook

Education

High school diploma or equivalent

Tools

PC

Fax

Telephone systems

Scanner

Copy machine

Outlook

Microsoft Office

Job description

Position Summary:Provide efficient, accurate, and effective customer-focused communication services to enhance our patient's experience. Pre-register, schedule, cancel and reschedule patient appointments. Responsible for the timely verification of patient medical insurance benefits, insurance eligibility, benefits and pre-authorization/ pre-certification/referrals. Ensures that all account activity is timely and thoroughly documented. Communicate and informs patients on payor requirements to ensure compliance. Validates that all necessary referrals, pre-certifications and/or authorizations for scheduled services is on file and valid for scheduled procedures. May perform other duties as assigned.

Required Qualifications:High school diploma or equivalent. Minimum of 2 years' experience in a hospital or medical office setting, including registration knowledge. Knowledge of medical terminology. Utilization of systems: PC, fax, telephone, scanner, copy machine, Microsoft Office and Outlook programs. Knowledge of CPT and HCPC codes.

[ Preferred Qualifications]Some college courses completed in business communication or data entry. Minimum one (1) year experience with insurance verification in a healthcare setting; minimum one (1) year experience with scheduling patient appointments. Working knowledge of insurance and billing requirements, county, state & charity aid programs. Computer literate and knowledge of applications relative to admitting functions.

Salary Range: $23.33 - $32.83 hourly.Salary will be commensurate with experience.

As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.