Patient Service Representative – Inpatient/Surgery Preservice Verification

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🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Duke Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1924

💼 Consulting

🏥 Healthcare

📚 Education

Consulting • Healthcare • Education

Duke Careers is a platform connected to Duke University's rich legacy, established in 1924. It aims to celebrate the centennial of Duke University while providing resources, stories, and interviews that reflect the university's history, current achievements, and future aspirations. A key focus of Duke Careers is to engage with alumni and the community, showcasing the transformative impact of education and leadership within the university.

📋 Description

• Maintain accurate and complete patient accounts according to departmental protocols, policies, procedures, and regulatory requirements • Perform pre-admission, admission, pre-registration, and registration functions • Verify insurance coverage, benefits, requirements, authorizations, referrals, and payment sources before patient arrival • Inform patients of financial liability, balances, co-pays, coinsurance, and deductibles • Arrange payment options and implement appropriate collection actions • Screen uninsured patients for government funding sources and refer them to Financial Services • Research accident-related conditions to determine liability and payment sources • Schedule and pre-register patients, correcting demographic and financial data • Resolve insurance claim rejections and denials • Evaluate diagnoses for compliance with the Local Medicare Review Policy • Explain billing and insurance information to patients according to PRMO policies • Determine third-party sponsorship and process patients according to policy and procedure • Examine insurance and sponsorship materials for payment sources • Inform attending physicians of patient financial hardship • Update patient insurance status in the billing system • Provide timely customer service to internal customers, patients, payors, and physicians by phone • Communicate with insurance carriers regarding clinical information, coverage, payment, and benefits • Enter and update referrals and document authorizations in the billing system • Assist with departmental coverage as requested

🎯 Requirements

• Excellent oral and written communication skills • Ability to analyze data, perform multiple tasks, and work independently • Ability to develop and maintain professional, service-oriented relationships with patients, physicians, co-workers, and supervisors • Ability to understand and comply with policies and procedures • Knowledge of basic grammar and mathematical principles normally acquired through a high school education • Additional training or working knowledge of related business • Two to five years of experience in hospital access, physician office, billing and collections, or equivalent relevant education and/or experience • Postsecondary education preferred • No degrees, licenses, or certifications required

🏖️ Benefits

• Remote work position • Monday–Friday work schedule, 8:30am–5:00pm • Equal opportunity employment • Reasonable accommodation provisions