Pre Reg/Ins Ver Rep
Shared Services - Richmond - Richmond, VA

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Parallon Business Solutions Richmond Shared Service Center is seeking a Pre-Registration Insurance Verification Rep.

Work hours are Monday - Friday from 10:30am - 7pm.



Responsible for timely and accurate pre-registration and insurance verification. Accurately interprets managed care contracts and is proficient in the use of the Contrak system.

Retrieve reservation/notification of scheduled admission from gatekeeper via laser printer

Perform pre-registration and insurance verification within 24 hours of receipt of reservation/notification for both inpatient and outpatient services

Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information therein

Contact physician to resolve issues regarding prior authorization or referral forms

Assign Iplans accurately, via the use of the Contrak system

Perform electronic eligibility confirmation when applicable and document results

Research Patient Visit History to ensure compliance with the Medicare 72 hour rule

Complete Medicare Secondary Payor Questionnaire as applicable for retention in Abstracting module

Calculate patient cost share and be prepared to collect via phone or make payment arrangement

Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment

Receive and record payments from patient for services rendered.

Utilize Meditech MOX communication system to facilitate communication with hospital gatekeeper

Perform insurance verification and pre-certification follow up for prior day's walk in admissions/registrations and account status changes by assigned facility

Communicates with hospital based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues

Utilize Meditech account notes and Collections System account notes as appropriate to cut-n-paste benefit and pre-authorization information and to document key information

Meets/exceeds performance expectations and completes work within the required time frames

Implements and follows system downtime procedures when necessary

Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"

Other duties as assigned



High school diploma or GED required


At least three years of insurance verification experience preferred