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Pre-Access Specialist at SCL Health

Posted in Other 30+ days ago.

Type: Full Time
Location: Billings, Montana





Job Description:

You
You bring your body, mind, heart and spirit to your work as a Pre Access Specialist You know how to move fast
You know how to stay organized
You know how to have fun
You re equally comfortable with communicating, following through, and technology
You re great at what you do, but you want to be part of something even greater
Because you believe that while individuals can be strong, the right team is invincible
Us
St
Vincent Healthcare is part of SCL Health, a faith-based, nonprofit healthcare organization that focuses on person-centered care
Our 286-bed level II trauma center has provided care in Montana and the surrounding area since 1898, and our 30-clinic network ensures community needs are met
We offer comprehensive, specialty care, including a hospital within a hospital specifically for children, and are proud to extend SCL Health s missions by treating the poor, the vulnerable, our community and each other
Benefits are one of the ways we encourage health for you and your family
Our generous package includes medical, dental and vision coverage
But health is more than a well-working body: it encompasses body, mind and social well-being
To that end, we ve launched a Healthy Living program to address your holistic health
Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off
We also offer financial wellness tools and retirement planning
We
Together we ll align mission and careers, values and workplace
We ll encourage joy and take pride in our integrity
We ll laugh at each other s jokes (even the bad ones)
We ll hello and high five
We ll celebrate milestones and acknowledge the value of spirituality in healing
We re proud of what we know, which includes how much there is to learn
Your day
As a Pre Access Specialist, you will obtain complete and accurate patient demographic, insurance (eligibility and/or verification), and financial information and collects all liability due for scheduled patients by telephone
Pre-registers patients
Confirms, enters, and/or updates all required demographic data on patient and guarantor on registration system
Avoids overlays and duplicate patient medical records
Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required
Screens for and processes non-covered services and waiver of liability (ABN) through automated screening at time of service
Completes the Medicare Secondary Payer (MSP) questionnaire when applicable
Identifies copay and deductibles
Communicates patient financial responsibility to patient prior to date of service
Collects patient responsibility prior to service
copies of insurance card(s), forms of ID, and signature(s) on all required forms
Verifies information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization if not verified by PASC
Completes the Medicare Secondary Payer (MSP) questionnaire when applicable
Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required
Screens for and processes non-covered services and waiver of liability (ABN) through automated screening at time of service
Informs self-pay patients of liability due, prepayment requirements and coordinates screening of alternate funding sources if applicable
Refers potentially eligible patients to financial counseling and/or contract eligibility vendor(s)
Collects patient payments and provides accurate receipt
Posts all payments in system
Reconciles receipts with cash collected and completes required balancing forms
Documents patient account notes for all interactions/transactions
Your experience
We hire people, not resumes
But we also expect excellence, which is why we require: High School Diploma or equivalent Previous hospital/medical office, medical insurance and/or customer service experience preferred
Your next move
Now that you know more about being a Pre Access Specialist on our team we hope you ll join us
At St
Vincent Healthcare, you ll reaffirm every day how much you love this work, and why you were called to it in the first place

Our facilities do not discriminate against any person on the basis of race, color, national origin, disability, or age in admission or access to, or treatment or employment in, its programs, services or activities, or on the basis of sex (gender) in health programs and activities


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