Pre-Service Representative
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Job Description
Pre-Service Representative verifying insurance benefits and securing authorizations for Ochsner Health patients. Communicating liability and coordinating pre-service requirements before scheduled care.
Responsibilities:
- Prepare, validate, and complete all steps needed to clear new cases for pre-scheduled services
- Validate and gather insurance and demographic information
- Contact insurance companies by website, phone, or fax to verify benefits and obtain authorizations
- Identify insurance guidelines and facilitate communication
- Use the EPIC system to verify benefits and eligibility
- Complete and obtain necessary authorizations for scheduled services
- Collaborate with clinical providers, on-site case management, and LPN/RN or Nurse Auditor staff
- Perform pre-service collection estimation and communicate patient liability
- Provide point-of-service information and logistics to support an exceptional patient experience
- Maintain compliance with applicable laws, accreditation standards, regulations, privacy, and safety requirements
- Perform other related duties as required
Requirements:
- High School diploma or equivalent required
- Associates Degree or Bachelor Degree preferred
- 1 year of related experience in a hospital, clinic, medical office, business services/revenue cycle, front-line registration, financial counseling, banking, and/or customer service-related job required
- Experience with EPIC preferred
- Computer skills and dexterity for patient-information data entry and retrieval
- Effective verbal and written communication skills
- Proficiency with Windows-style applications, keyboard, and role-specific software packages
- Strong interpersonal skills
- Ability to multitask
- Ability to perform effectively in a fast-paced, changing environment
- Ability to remain calm and professional during high-pressure or stressful patient financial and medical conversations
- Reliable transportation to travel to other facilities as needed
- Ability to comply with applicable federal, state, and local laws, accreditation standards, and regulatory requirements
Benefits:
- Equal Opportunity Employer
- Reasonable accommodations for qualified individuals with disabilities
- Accessible application process and accommodation support
- Employer of Choice recognition and workplace awards
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