HCA Healthcare
Patient Access Central Unit Authorization Rep
HCA Healthcare, Brentwood, Tennessee, United States, 37027
Patient Access Central Unit Authorization Rep
2 days ago Be among the first 25 applicants
Schedule: Monday - Friday 8am-4:30pm Eastern Time Zone. Work from Home position requires you to live within 60 miles of an HCA Healthcare Hospital (states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Patient Access Central Unit Authorization Rep.
Job Summary & Qualifications This role ensures timely and accurate processes associated with pre-registration, insurance verification, pre-certification, and insurance notification.
Pre-registration
Insurance Verification
Pre-certification
Insurance Notification
Responsibilities
Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services.
Follow scripted benefits verification pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information.
Perform electronic insurance eligibility confirmation when applicable and document results.
Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system (i.e. OnBase).
Calculate patient cost share and be prepared to collect via phone or make payment arrangement.
Contact patient via phone 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 services scheduled.
Utilize appropriate communication system to facilitate communication with hospital gatekeeper.
Contact physician to resolve issue regarding prior authorization or referral forms.
Perform insurance verification and pre-certification follow up for prior day’s walk-in admissions/registrations and account status changes by assigned facility.
Qualifications
High school diploma or GED preferred.
1 year of related experience required.
Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include comprehensive medical coverage, dental and vision options, life and disability coverage, flexible spending accounts, supplemental health protection plans, auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance, free counseling services and resources for emotional, physical and financial wellbeing, 401(k) plan with 100% match on 3%-9% of pay, employee stock purchase plan with 10% off HCA Healthcare stock, family support through fertility and family building benefits with Progyny and adoption assistance, referral services for child, elder and pet care, home and auto repair, event planning, consumer discounts through Abenity, retirement readiness and rollover assistance services, education assistance (tuition, student loan, certification support, dependent scholarships), colleague recognition program, time away from work program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence), employee health assistance fund, and more.
Note: Eligibility for benefits may vary by location.
Equal Opportunity We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
We are interviewing – apply today!
About Parallon Parallon provides full-service revenue cycle management, including scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing for HCA Healthcare. We also provide targeted solutions like Medicaid Eligibility for external clients across the country, serving close to 1,000 hospitals and 3,000 physician practices.
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Schedule: Monday - Friday 8am-4:30pm Eastern Time Zone. Work from Home position requires you to live within 60 miles of an HCA Healthcare Hospital (states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Patient Access Central Unit Authorization Rep.
Job Summary & Qualifications This role ensures timely and accurate processes associated with pre-registration, insurance verification, pre-certification, and insurance notification.
Pre-registration
Insurance Verification
Pre-certification
Insurance Notification
Responsibilities
Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services.
Follow scripted benefits verification pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information.
Perform electronic insurance eligibility confirmation when applicable and document results.
Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system (i.e. OnBase).
Calculate patient cost share and be prepared to collect via phone or make payment arrangement.
Contact patient via phone 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 services scheduled.
Utilize appropriate communication system to facilitate communication with hospital gatekeeper.
Contact physician to resolve issue regarding prior authorization or referral forms.
Perform insurance verification and pre-certification follow up for prior day’s walk-in admissions/registrations and account status changes by assigned facility.
Qualifications
High school diploma or GED preferred.
1 year of related experience required.
Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include comprehensive medical coverage, dental and vision options, life and disability coverage, flexible spending accounts, supplemental health protection plans, auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance, free counseling services and resources for emotional, physical and financial wellbeing, 401(k) plan with 100% match on 3%-9% of pay, employee stock purchase plan with 10% off HCA Healthcare stock, family support through fertility and family building benefits with Progyny and adoption assistance, referral services for child, elder and pet care, home and auto repair, event planning, consumer discounts through Abenity, retirement readiness and rollover assistance services, education assistance (tuition, student loan, certification support, dependent scholarships), colleague recognition program, time away from work program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence), employee health assistance fund, and more.
Note: Eligibility for benefits may vary by location.
Equal Opportunity We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
We are interviewing – apply today!
About Parallon Parallon provides full-service revenue cycle management, including scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing for HCA Healthcare. We also provide targeted solutions like Medicaid Eligibility for external clients across the country, serving close to 1,000 hospitals and 3,000 physician practices.
#J-18808-Ljbffr