Ins Ver/Precert Rep - Prn/Variable Schedule

Adventist Health System Tampa , FL 33602

Posted 2 weeks ago

Job Description:

Description

YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!

Work Hours/Shifts

PRN / Variable Schedule

Florida Hospital Tampa

Our hospital has celebrated many firsts in Tampa's health care history since we opened our doors in 1968. Today, more than four decades later, Florida Hospital Tampa continues to offer innovative medicine as we elevate health care in the Tampa Bay region.

At Florida Hospital Tampa, our diverse clinical specialties provide world-class health care to our patients. We offer the most trusted, expert care in key specialties including cardiovascular care, neurosciences, orthopedics, women's health, cancer and surgery. Our skilled surgeons not only utilize minimally invasive and robot-assisted procedures, but they are also leaders in improving these advanced techniques.

You will be responsible for:

  • Communicates with all customers (patients, families, staff, physicians, vendors, etc) in a helpful and courteous manner while extending exemplary customer service. Anticipates and responds to inquiries and needs in an assertive, yet courteous manner.

  • Pre-registers all scheduled events in an accurate and efficient pace, completing accounts within 15 minutes or less. Maintains knowledge of all insurance plan requirements, Inpatient and Outpatient pre-registration processes, and collects on all opportunities.

  • Meets or exceeds accuracy standard goal determined by Pre-Access Leadership. Ensures integrity of patient accounts by working RQi daily, entering accurate data, and documenting all attempts made to collect and/or to obtain missing documentation.

  • Meets or exceeds upfront collection standard goal to protect financial standing of Florida Hospital. Completes all pre-registrations and verifications at least 14 days prior to the appointment date. Proactively seeks assistance to improve collections. Ensures compliance is ran on all Medicare accounts, Medicare IP only list is checked for all inpatients, and all accounts are reviewed for possible HMO, or secondary payer.

  • Provides timely and continual coverage of assigned work area in order to ensure all accounts are completed well in advance of the scheduled appointment, or within 24 hours of admission. Meets attendance requirements, and is flexible during periods of short staffing, and or high volume.

  • Accountable for maintaining a close working relationship with team mates, point of service registrars, departmental staff, physician's offices, etc.

  • Adheres to HIPAA regulations by verifying pertinent information to determine caller or visitor authorization level before releasing account information.

Qualifications

What will you need?

  • Basic computer skills

  • Proficient in using multiple computer applications interchangeably

  • Communicates professionally with an acceptable use of English and spelling

  • Ability to follow directions

  • Works independently in most situations while multitasking

  • Capable of working with people of various diverse backgrounds

  • Customer service skills

  • Typing skills equal to 27 words per minute net.

  • Knowledge of computer programs including Sunport, Cerner, Medicare Compliance, & Galvanon (preferred)

  • Medical Terminology ( preferred)

  • Ability to communicate in Spanish (preferred)

  • Successful completion of Florida Hospital Registration Training class (training will be provided post-hire, if not previously completed (preferred)

  • High School diploma or GED (preferred)

  • Prior Collections Experience (preferred)

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.


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Responsible for placing clear and thorough financial assessments, authorizations/pre-certs, and/or benefit memos on patient accounts to ensure expeditious billing and to protect financial standing of Florida Hospital. * Meets or exceeds accuracy standard goal determined by Patient Access Leadership. Ensures integrity of patient accounts by working error reports daily, entering accurate data, and documenting all attempts made to collect and/or obtain missing documentation. * Meets or exceeds upfront collection standard goal assigned to location of responsibility to protect financial standing of Florida Hospital. Proactively seeks assistance to improve collections. Reviews all collection reports timely, as assigned by leadership. May perform cashiering functions and other duties as required in support of the pre-established legal and financial guidelines of Florida Hospital. * Performs eligibility and benefits verification applicable to patients visit. Uses utmost caution that authorizations and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility and pre-certification tools made available. * Specifically takes responsibility for current monthly standard of total patient wait time in department, by ensuring all pre-registered and walk-in patient accounts are created and/or completed timely. Makes productive use of downtime by reviewing individual account logs and/or error reports, updating accounts thoroughly. During peak registration times, supports department by ensuring patients are processed through system protocols quickly, as outlined by PA/PFS Customer Service Escalation Plan. * Daily prepares to begin work immediately, by being at workstation as scheduled by department leadership in order to offer continuous patient service and be available for all clinical partners registration needs. 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This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Adventist Health System Tampa FL

Ins Ver/Precert Rep - Prn/Variable Schedule

Adventist Health System