Pre-Arrival Unit Representative

Important Applications Instructions:

Job Requisition ID:

Job Category:

Organization:

Location/s:

Job Title:

Job Summary:

Education & Experience

Knowledge, Skills & Abilities

Responsibilities

• Verify patient insurance eligibility and coverage.
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
• Leverage available information (e.g., CPT codes and diagnosis codes) to obtain authorizations.
• Obtain approval for services scheduled by external providers.
• Pre-certify services requiring authorization in a timely and efficient manner.
• Pre-certify outpatient procedures in a timely manner when applicable.
• Complete Notification of Admission (NOA) promptly to notify relevant payers of patient admissions.
• Communicate with patients, insurers, and relevant parties regarding insurance verification and authorization.
• Provide updates and address questions regarding work progress with team members, leadership, and external departments.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.
• Physical and Environmental Demands
• Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, no activities subject to significant volume changes of a seasonal/clinical nature, occasional work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, occasional lifting/carrying up to 50 pounds, occasional lifting/carrying up to 75 pounds, occasional lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, no climbing, no crawling, occasional crouching/stooping, occasional driving, occasional kneeling,occasional pushing/pulling, frequent reaching, frequent sitting, frequent standing, occasional twisting, and frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)
• Full time
• No
• Hourly
• 100
• Day

Time Type:

FLSA Designation/Job Exempt:

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Qualifications

• High School Diploma/GED and one (1) year of healthcare experience.
• Knowledge, Skills & Abilities
• Ability to maintain confidentiality. Good verbal and written communication skills. Maintains professional standards. Effective organizational skills. Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry.