At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
This job is responsible for assisting patients by communicating with insurance payors via various methods (i.e. telephone, fax, internet) to determine eligible benefits and acquiring Pre-Certification(s) when deemed necessary by the insurance payor. Additionally responsible for communicating the liability to the patient after the Pre-Certification has been obtained and ensuring the Pre-Service process has been completed in advance of the patient’s arrival for scheduled service(s).
Education
Required – High School diploma or equivalent
Preferred –Associates Degree or Bachelor Degree
Work Experience
Required – 1 year related experience inf related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job
Preferred –Use of EPIC
Knowledge Skills and Abilities (KSAs)
Must have computer skills and dexterity required for data entry and retrieval of patient information.
Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
Must be proficient with Windows-style applications, keyboard, and various software packages specific to role.
Strong interpersonal skills.
Ability to multi-task.
Ability to perform effectively in a fast paced ever changing environment.
Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations.
Reliable transportation to travel to other facilities to fill in as needed.
Job Duties
Prepares, validates and completes all steps necessary to clear new cases for pre-scheduled services. This includes, but is not limited, to validating and gathering insurance and demographic information.
Interacts with insurance companies via, website, phone, or fax to verify benefits, obtain authorizations, identify insurance guidelines, and facilitate communication.
Gathers information to verify benefits and benefits eligibility by s utilizing the EPIC system.
Completesand/or obtains all necessary authorizations for the service(s) to be performed. Works with the clinical providers , on- site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department.
Performs Pre-Service collection estimation functions and communicates patient liability.
Provides point –of – service information and logistics to ensure an exceptional patient experience.
Other related duties as required.
The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Ochsner is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
Physical and Environmental Demands
The physical essential functions of this job include (but are not limited to) the following: Frequently exerting 10 to 20 pounds of force to move objects; occasionally exerting up to 100 pounds of force. Physical demand requirements are in excess of those for sedentary work. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Are you ready to make a difference? Apply Today!
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