Full time position available.

Representative is responsible for performing all functions necessary to obtain verification and pre-certification on all scheduled and non-scheduled emergency and direct admits. The person in this position will be accountable for accuracy of all insurance benefit/pre-certification information prior to billing.

Essential Duties & Responsibilities:

Answers basic insurance questions and /or refers appropriately as necessary. Verifies and pre-certifies insurance according to department policy Documents all activity relative to the account. Maintains good communication with physicians and staff to promote a good working relationship. Demonstrates a clear understanding of insurance pre-certification requirements. Enters all relevant insurance benefits and pre-certification information into computer. Keeps UR and Business Services department updated on any changes in status of all in-house patients. Demonstrates a basic understanding of Medicare, Medicaid, HMO and PPO rules, regarding inpatient vs. Observation stays and pre-certification requirements. Assist with registrations when needed in extremely busy conditions. Helps patients arrange payment for services that are not covered by their insurance companies

Education:

High School Diploma required.

Experience:

1 year of experience in Hospital admissions and/or billing experience 8am - 4:30pm