PRE-REG PRE-CERT SPECIALIST
The University of Kansas Hospital - Kansas

This job posting is no longer available on The University of Kansas Hospital.

Work among the best. Academic medical centers like The University of Kansas Hospital are at medicine's frontier, providing more options and more hope to our patients. Employees in our administrative positions play a vital role to the success of the organization. Many times, these are the first people that our customers come in contact with, or are the people that our customers rely on to provide directions, medical or financial assistance or confide in for personal needs. As such we value your knowledge and interaction with the customer that enhances their overall experience at our hospital, and makes this a great place to work. The hospital offers very competitive wages and an outstanding benefit package.

Responsibilities:
  • Responsible for verification and pre-certification, notification and authorization of admissions.
  • Identifies patients who qualify for pre-registration to include all new patients and all return patients not seen in a KUPI clinic or KUHA ancillary department during the previous 180 days. Identifies any patient with bad debt and refers directly to a Patient Account Advisor.
  • Conducts telephone interview with patients to elicit demographic information and third party payer data that will be needed for billing purposes. Reminds the patient of the date of the appointment.
  • Enters patient data directly into SMS, Athena and IDX systems and completes forms. Ensures that MSPQ is completed when appropriate.
  • Identifies insurance plans that need to have a referral and flags the account as needed.
  • Works closely with the clinics, hospital ancillary departments, referral specialists and financial counselors in regards to potential complications regarding insurance coverage.
  • Adheres to compliance standards of both KUPI and KUHA.
Requirements:
  • High school diploma or GED is required.
  • Three to five years of experience in registration functions, pre-certification, or customer service in a Health Care setting preferred.
  • Basic computer skills required.
  • Ability to maintain harmonious relationships within the work team, in the department, and outside the department.
  • Ability to communicate clearly, use good judgment and be sympathetic toward patients.
  • Ability to work under stress with frequent interruptions.
  • Ability to maintain confidentiality with patient information.

The University of Kansas Hospital - 19 months ago - save job - block
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