AdventHealth Careers for Veterans

Job Information

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

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.

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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