Pre-Service Representative
St. Mary's Healthcare
Job Requisition: REQ3122
Employment Type: Full-Time
Shift: Days
Hours Per Week: 40 Hours
Hiring Range : $17.34- $22.54
The actual compensation for this position will be determined based on experience and other factors permitted by law.
Responsibilities:
• Gathers necessary demographic and clinical information from patients and enters into appropriate database.
• Seeks appropriate resources to resolve issues about the type, date, and location of prescribed procedures.
• Schedules patient procedures in a manner that most efficiently utilizes the patient's time and clinical resources.
• Assists with coordination of activities related to insurance pre-certification/authorization.
• Provides counseling to patient or patient's representative regarding pre service requirements and instructions.
• Verifies insurance for scheduled patients, and advises patients of copayment requirements.
• Coordinates scheduling and referrals to other healthcare providers and services. Obtains approval for schedule changes or cancellations as appropriate.
• Assists with maintenance and updating of provider contact information.
• Ensures that all medical appointments, special instructions and patient information is entered into electronic medical system.
• Follows site-specific protocols and maintains up-to-date documentation to ensure compliance.
Complexity of Work:
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a stressful environment.
Personal Protective Equipment:
Follows standard precautions using personal protective equipment as required.
Minimum Qualifications
Education:
• High school diploma or GED required.
+ Must be able to speak, read, write and follow instructions in English.
Work Experience:
• 6 months computer experience required.
• Familiarity with medical terminology preferred.
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