Job Description

Job Title: Patient Services Rep IV Pre Authorization Specialist

Asheville, NC 28803

13 Weeks Contract

Shift/Schedule: Onsite; 8AM-5PM

Interview: Virtual

Conversion: Yes, temp to perm

JOB SUMMARY:

• The team member’s Number One job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understands how to contribute to the health system’s vision of achieving that commitment to patients and families. People are our business. We treat each other with respect and compassion. We embrace the differences in our strengths while fostering an environment of inclusion, empowerment, inspiration, and courage. The team member will use Novant Health’s First Do No Harm (NHFDNH) safety behaviors/error prevention tools and high reliability strategies as appropriate to ensure a safe, remarkable patient experience.
• Responsible for timely and accurate recording of patient demographics, insurance information, patient charges and collections. Scheduling patient appointments in a timely and accurate manner. Cross training required in multiple administrative support functions.

JOB REQUIREMENTS:

• High School Diploma/GED
• 1+ years of pre-authorization experience in a medical office setting
• Knowledge of medical office software for the following: updating patient demographic information, posting charges, copays, and scheduling patient appointments.
• Requires excellent verbal communication skills.
• Must be able to work with changing priorities.
• Requires excellent organizational, problem solving and critical thinking skills.
• Must be able to interact with individuals of all cultures and levels of authority.
• Requires the ability to maintain confidentiality. Must be able to function as part of a team.
• Must possess initiative. Basic medical terminology required, knowledge can be obtained through formal classes or work experience.
• High level of working knowledge of EPIC systems. Detailed knowledge of multiple payors billing requirements.
• Familiarity of coding requirements for practice specialty.

Job Functions:

• Patient Registration: At registration, enters complete accurate patient demographic and insurance information in system. Greet patient, verify and correct any demographics and insurance information, copy insurance card and ensure copy is added to patient medical record. Communicate any changes in demographic and insurance information to the appropriate areas.
• Obtain updated patient registrations signature with date and ensure that the form is added to patient record. Collects and enters co-pay.
• Patient Check Out: At check out, verify patient charges in electronic system, recheck insurance information, schedule return appointments if appropriate and collect balances due. Run appropriate daily close reports, reconciling all cash, checks and credit card charges received for each business day. Verify charges in charge audit work queue and correct errors before releasing charges. Complete individual and/or practice reconciliation report including bank deposit slip.
• Scheduling: When scheduling appointment, enter necessary patient demographics if new patient; verifies information if established patient. Chooses appointment time based on patient request, physician/provider availability and urgency of appointment.
• General Clerical Duties: File. Make Copies. Answer the telephone, provide accurate follow up, take and communicate messages.
• EPIC and Charge Entry Audit: Responsible for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze denials, correct errors to ensure charges captured and processed and goal for site errors is met or exceeded. Respond to patients and staff for billing and insurance questions. Resolve work queue errors & denials through research and analysis by reviewing chart and office notes, pre authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work closely with practice coder in resolution process. Respond to requests from practice Revenue Cycle Advocate. Serve as resource for front desk registration to ensure accuracy on insurance information. Resolve patient billing concerns. Assist providers in charge capture when necessary.
• Teamwork and Communication: Work within a team to achieve patient and team goals. Share and initiate regular and professional communication with co-workers. Participate in regular staff meetings. Works with team to identify opportunities of improvement and actively participates in the improvement process.
• Human Experience: Show courage through creating and sharing innovative ideas to improve the experience for both patients and peers. Round on patients to create meaningful connections and keep patients informed of visit details (delays/wait times). Model the experience principles through consistently engaging in Always Event behaviors and viewing feedback through the patient lens. Recognize and value the unique differences and similarities in both our team members and patients to create an inclusive environment where diversity is celebrated. Explain all processes to patients in plain language and utilize teach back to ensure understanding. Know and model the mission, vision and values, and how they relate to role-specific responsibilities. Model our people credo through a passion to care for each other, our patients and our communities.

JobDiva # 25-42026

Best Regards

Ajeet Kumar - Team Lead – IT Recruitment

Direct: 469-342-3572 / Desk : (201) 524-9600 Ext.7790

ajeetk@ustechsolutionsinc.com

10 Exchange Place, Jersey City, NJ 07302, USA

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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