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Pre Registration Representative Pre-Access Full Time Day in Orange City, FL at AdventHealth

Date Posted: 6/7/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Job Category
  • Date Posted:
    6/7/2019
  • Job ID:
    19005558
  • Job Family
    Patient Financial Services
  • Travel
    No
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Daytona Beach

Job Description


Description

Pre Access Representative AdventHealth Fish Memorial

 
Location Address: 1055 Saxon Boulevard Orange City, Florida 32763
 
Top Reasons To Work At AdventHealth Fish Memorial
Career growth and advancement potential
Health Insurance Coverage
Great benefits such as: Educational Reimbursement

Work Hours/Shift:
Full Time, Day
 
You Will Be Responsible For:
  • Interviews patients or family members prior to procedure date to gather demographic and insurance information; including patient address, next of kin, guarantor, religion, e-mail address, insurance companies and plans.                   
  • Ensures Insurance Requirements; including verification of benefits, authorization requirements and notification requirements are met prior to patients scheduled arrival.         
  • Obtains precertification and/or authorizations required for the scheduled services on behalf of the physician’s offices enrolled in the Pre-Certification program.
  • Request any documentation necessary to complete authorization process from the physician’s office.
  • Notifies physician’s office, pre-registration and/or patient of denial of services timely.
  • Knowledge of on-line verification and authorization systems including but not limited to Availity, WebMD, UnitedHealthCare, etc.         

Qualifications
What You Will Need:

KNOWLEDGE AND SKILLS REQUIRED:
  • Must be able to Read, Write and Type. 
  • Must be able to use a desktop computer with basic knowledge of Word and Excel. 
  • Must have good Customer Service skills and be able to communicate with patients in a clear voice.       
  • Works in close proximity to others and/or in a distracting environment.
EDUCATION AND EXPERIENCE REQUIRED:
  • Requires a high school diploma or GED. 
  • 6 months previous related experience preferred.
 
Job Summary:
Pre-Access Representative, under the direct supervision of the Pre-Access Coordinator, ensures patients are pre-registered including: demographic information obtained, insurance verification and authorizations are completed prior to the patient’s arrival.  The Pre-Access Representative will need to maintain knowledge of outpatient procedures, surgical procedures and insurance requirements to ensure an appropriate registration process. They are required to maintain a working knowledge of all Managed Care Contracts as well as insurance requirements for authorizations, notifications or referrals.       


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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