Pre-Registration / Financial Clearance Representative

Pre-Registration / Financial Clearance Representative 3.4 3.4 out of 5 stars Dalton, GA Full-time Vitruvian Health 7 reviews Full-time About Us At Vitruvian Health, we serve with compassion. As northwest Georgia and southeast Tennessee's leading healthcare system, we are committed not only to the health of our communities, but also to the growth, support, and success of our team members. Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day. Our core values, Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE), guide everything we do. We believe in empowering our people, celebrating differences, and delivering care that reflects the heart of our mission. Join us and build a meaningful career where you're valued, inspired, and supported to make a real impact. Excellence. Every person. Every time.

JOB SUMMARY

Responsibilities include ensuring all phone calls received in switchboard are answered in a timely manner. All phone calls are recorded, faxes received and recorded proper and timely. To review all information given by either the patient or the physician's office is accurately recorded. Must work with Diagnostic areas to ensure work flow is correct. Under the direct supervision of the Scheduling and Pre Services Supervisor, the patients are contacted to obtain necessary identifying, demographic and financial information. Seeks to help patients understand their financial responsibilities, giving the estimated out-of-pocket responsibilities and payment options; at all times providing first-class service to set the tone for the patient's journey of care as well as educate and manage the financial expectations for the patient prior to admission. Initiates the pre-registration in Cerner. Provides information to the patient regarding when and where to report to Hamilton Medical Center. Contacts physician offices for pre authorization information. Contacts payers to obtain pre authorization as needed. Participate in coordinating care with management and patient interdisciplinary team. Document special consideration with physician for test. Receive phone order from physician.

JOB QUALIFICATIONS EDUCATION

Graduate of an approved program for Licensed Practical Nurse required.

EXPERIENCE

Health care experience required. Preferred 2-5 years onsite clinic, corporate health or wellness setting. Marketing, Sales, Management and/or Customer Service experience preferred.

JOB SKILLS

Knowledge of medical terminology, medical procedural coding (CPT/ICD9) and reimbursement. Must possess excellent customer service skills; good written and verbal communication skills, and the ability to work in a team environment, be detail oriented, and demonstrate competence in basic math concepts. Must have working knowledge of medical A/R software programs and PC skills, be able to make decisions and perform with minimal supervision, and work with outside customers to maintain existing business and develop new business. Full-Time Benefits 403(b) Matching (Retirement) Dental insurance Employee assistance program (EAP) Employee wellness program Employer paid Life and AD&D insurance Employer paid Short and Long-Term Disability Flexible Spending Accounts ICHRA for health insurance Paid Annual Leave (Time off) Vision insurance