Pre-Service Representative - Shreveport, United States - Ochsner LSU Health Shreveport

Description

**Were about creating exceptional experiences for both our patients and our employees. Partnering with the LSU School of Medicine, our goal is to provide high-quality patient care within a setting that advances medical science through research and educates the next generation of leaders in healthcare. We are** **committed** **to providing opportunities for our staff that develop and grow careers in a compassionate team-oriented environment focused on patients first.**

**At Ochsner LSU Health System of North Louisiana, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner LSU Health System of North Louisiana and discover your future today**

This job is responsible for assisting patients by communicating with insurance payors via various methods (i.e. telephone, fax, internet) to determine eligible benefits and acquiring Pre-Certification(s) when deemed necessary by the insurance payor. Additionally responsible for communicating the liability to the patient after the Pre-Certification has been obtained and ensuring the Pre-Service process has been completed in advance of the patients arrival for scheduled service(s).To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at Ochsner's discretion.

Education

Required - High School diploma or equivalent

Preferred Associates Degree or Bachelor Degree

Work Experience

Required 1 year related experience inf related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job

Preferred Use of EPIC

Knowledge Skills and Abilities (KSAs)

Must have computer skills and dexterity required for data entry and retrieval of patient information.

Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.

Must be proficient with Windows-style applications, keyboard, and various software packages specific to role.

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 situations regarding patient financial and medical conversations.

Reliable transportation to travel to other facilities to fill in as needed.Job Duties

Prepares, validates and completes all steps necessary to clear new cases for pre-scheduled services. This includes, but is not limited, to validating and gathering insurance and demographic information.

Interacts with insurance companies via, website, phone, or fax to verify benefits, obtain authorizations, identify insurance guidelines, and facilitate communication.

Gathers information to verify benefits and benefits eligibility by s utilizing the EPIC system.

Completesand/or obtains all necessary authorizations for the service(s) to be performed. Works with the clinical providers , on- site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department.

Performs Pre-Service collection estimation functions and communicates patient liability.

Provides point of service information and logistics to ensure an exceptional patient experience.Other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

Complies with the Ochsner Health System Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

Ochsner is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

The incumbent has no occupational risk for exposure to communicable diseases.

*Ochsner LSU Health System of North Louisiana endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Service Center at select option 1) or This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.*

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locationShreveport - North Louisiana Region - LouisianalocationShreveport - North Louisiana Region - LouisianalocationShreveport - North Louisiana Region - Louisiana