Insurance and Pre-Registration Representative

🕒 2 days ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

📋 Description

• Verifies insurance coverage/benefits utilizing online eligibility, websites or by telephone inquiry to the insurance administrator and/or third-party payor. • Information obtained through insurance verification must always be documented accurately and completely in the EPIC patient billing system. • Ensures insurance priorities are correct based on third-party requirements/COB. • Identifies current patient responsibility using insurance eligibility and benefit responses. • Documents patient responsibility as required according to Departmental Guidelines to help ensure correct patient payments are collected at time of service. • Initiates, obtains, and documents pre-certifications /prior authorizations as required according to Departmental Guidelines. • Communicates new insurance system issues to appropriate personnel to be reviewed/corrected. • Manually corrects/updates current identified insurance issues according to departmental guidelines until correction can be implemented. • Performs other duties as assigned.

🎯 Requirements

• Education - High School diploma or equivalent OR post-high school diploma/highest degree earned • Two (2) years billing, bookkeeping, or accounting experience

🏖️ Benefits

• Inspire health. • Serve with compassion. • Be the difference.