Guidehouse · 7 hours ago

Nova Admissions Rep - Full Time, Days

US - Remote (Any location)

Full-time

Remote

Entry Level

$37K/yr - $56K/yr

1+ years exp

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No H1B

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Responsibilities

Performs insurance notification, verification, and authorization activities necessary to financially secure accounts.

While appropriately prioritizing work based on financial risk / difficulty, incumbent completes notification, verification, & authorization for all inpatient, Ambulatory Surgery and bedded outpatient admissions utilizing the HQ work list as the primary work driver.

In a courteous manner, coordinates with and disseminates information to referring physician/hospital clinical staff and the insurance company to ensure that scheduled accounts are secure prior to admit and non-scheduled accounts are secure 24 hours post admit.

Aggressively explores all possible options to secure an account when problems arise (i.e. contacting physician office, referencing past visits, contacting patient, etc.).

Responsible for thorough system documentation according to established standards.

Communicates with insurance companies, patients, physician offices and/or other hospital departments to complete account documentation requirements Responsible for securing patient accounts.

Responsible for securing patient accounts:

Explains financial requirements to patient or other responsible party. Collects deposits and deductibles.

Aggressively explores all possible options as a means of securing an account when problems arise.

Informs Patient Access management, registration staff and physician if account is not secure prior to admission.

Coordinates with and disseminates information to referring physician/hospital clinical staff and insurance company to secure scheduled accounts prior to admission and non-scheduled accounts within 24 hours following admission.

Acts in a caring and courteous manner to all patients, guests, visitors, students, and staff.

Provides helpful and friendly assistance in a timely manner.

Demonstrates caring behavior by utilizing positive interpersonal skills.

Effectively responds to inquiries with a pleasant expression, maintaining eye contact, etc.

Caring and courteous behavior will be measured by the number of complaints received in a 12-month period. No more than two complaints are considered satisfactory.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Patient access experienceInsurance verificationFinancial documentationMedical terminologyCPAR certificationCHAA certificationTyping 35 WPMCash collectionsPre-certification

Required

High School Diploma or equivalent

1-3 years of experience in patient access, billing, cash collections, insurance and/or pre-certification OR 3 years directly related experience in a hospital.