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AG
Artesia General Hospital
PRIOR AUTHORIZATIONS
Career Insights for Registrar / Patient Service Representative
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Scorecard
Based on New Mexico data
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What they do
A Registrar or Patient Service Representative provides direct assistance to patients at a health care or long term care facility. Answers questions and helps resolve complaints; provides liaison with health care providers; may assist with coordinating appointments or addressing billing or insurance issues.
$44,697 / year median in New Mexico
+8% projected growth
Job Description
Job DetailsJob Location:
Artesia, NM 88210Position Type:
Full TimeEducation Level:
High School Diploma /GEDSalary Range:
$15.75- $29.
HourlyJob Shift:
AnyJob Category:
Clinical SupportESSENTIAL FUNCTIONS
Initiates and process prior authorization requests from healthcare providers for medical procedures and surgical services. Verify patient insurance coverage and benefits to determine requirements for prior authorization and collaborate with Artesia General providers, insurance companies, and patients to facilitate efficient authorization processes. Maintain accurate records of authorization requests, approvals and denials Communicate with providers and front-end office, insurance companies, and patients regarding authorization status, requirements and appeals. Prepare and submit prior-authorization appeal requests as necessary Communicates with patients their copay, out-of-pocket, co-insurance and deductible amounts. Familiarity with insurance plans, authorization processes and coverage policies Accurate data entry and record keeping.KNOWLEDGE/SKILL/ABILITIES
Proficiency in using electronic medical records systems Understanding medical terminology, procedures, and healthcare regulations Clear and effective communication and verbal skills Accurate data entry and record keeping Ability to resolve issues related to authorization request and denials. Ability to work independently and professionally.EDUCATION AND EXPERIENCE
High School Diploma and or GED Previous experience in healthcare medical billing and insurance authorization, preferred Ability to work overtime to meet deadlines or handle urgent authorization request.AGE-RELATED COMPETENCIES
Demonstrates the basic knowledge and skills (cognitive, technical and interpersonal) necessary to identify age-specific patient needs appropriate for all age groups.Information Management:
Treats all information and data within the scope of the position with appropriate confidentiality and security.Risk Management/Quality Management/Safety:
Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.ENVIROMENTAL CONDITIONS
Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.MINIMUM POSITION QUALIFICATIONS
Education- High School Diploma Work Experience
- Customer service experience preferred, good communication skills required, bi-lingual capabilities preferred. Minimum of one year of prior authorization experience preferred. Training
- N/A License/Certification
N/A Qualifications:
MINIMUM POSITION QUALIFICATIONS
Education- High School Diploma Work Experience
- Customer service experience preferred, good communication skills required, bi-lingual capabilities preferred. Minimum of one year of prior authorization experience preferred. Training
- N/A License/Certification
- N/A