Pre-Service Representative

🔥 13 hours ago

⚜️ Louisiana – Remote

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⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Logo of Ochsner Health

Ochsner Health

10,000+ employees

Founded 1942

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

💰 Grant on 2023-07

Healthcare • Healthcare Insurance • Non-profit

Ochsner Health is a comprehensive healthcare system dedicated to delivering health services to the people of Louisiana, Mississippi, and the Gulf South. Its mission is to serve, heal, lead, educate, and innovate in healthcare. As the largest academic medical center in Louisiana, Ochsner focuses on a clinically-integrated research program aimed at improving community wellness and educating future healthcare leaders. They offer a variety of services, including primary care, urgent care, women's and men's health, digital medicine, and specialized treatments such as cancer care, heart and vascular services, transplants, and more. Ochsner also emphasizes community engagement through partnerships, education, and outreach programs, while fostering an inclusive environment. They are committed to accessibility, patient stories, and transparency in billing and insurance information. Ochsner is a non-profit organization and an equal opportunity employer.

📋 Description

• Prepare, validate, and complete all steps needed to clear new cases for prescheduled services • Validate and gather insurance and demographic information • Interact with insurance companies by website, phone, or fax to verify benefits, obtain authorizations, identify insurance guidelines, and facilitate communication • Gather information to verify benefits and eligibility using the EPIC system • Complete and obtain necessary authorizations for services • Work with clinical providers, the on-site case management team, and LPN/RN or Nurse Auditor in the Pre-Service department • Perform Pre-Service collection estimation functions and communicate patient liability • Provide point-of-service information and logistics to ensure an exceptional patient experience • Perform other related duties as required • Remain knowledgeable about applicable federal, state, and local laws, accreditation standards, and regulatory requirements • Immediately report known or suspected unethical, questionable, safety, privacy, or compliance-related concerns

🎯 Requirements

• High School diploma or equivalent • 1 year related experience in a hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job • Computer skills and dexterity for data entry and retrieval of patient information • Effective verbal and written communication skills • Proficiency with Windows-style applications, keyboard, and role-specific software packages • 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 patient financial and medical conversations • Reliable transportation to travel to other facilities to fill in as needed • Must comply with applicable laws, accreditation standards, regulatory requirements, and the employer’s Compliance & Privacy Program and Standards of Conduct

🏖️ Benefits

• Equal opportunity employment • Reasonable accommodations for qualified individuals with disabilities • Accessible application process and accommodation support

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