Pre Registration / Insurance Verification Rep - PART TIME
PAS - Dallas - Irving, TX

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DUTIES INCLUDE BUT ARE NOT LIMITED TO:


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 preexisting,

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

Qualifications

KNOWLEDGE, SKILLS & ABILITIES



Communication - communicates clearly and concisely, verbally and in writing



Customer orientation - establishes and maintains long-term customer relationships, building trust and

respect by consistently meeting and exceeding expectations



Interpersonal skills - able to work effectively with other employees, patients and external parties



PC skills - demonstrates proficiency in PC applications as required



Policies & Procedures - demonstrates knowledge and understanding of organizational policies,

procedures and systems



Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate

properly, spell correctly and transcribe accurately

EDUCATION



High school diploma or GED required

EXPERIENCE



At least one year of insurance verification experience preferred