Altru Health System

Pre-Visit Specialist

Location
Grand Forks, ND
Salary
Join our team!
Posted
Jan 04, 2021
Ref
26977
Industry
Healthcare
Role
Other
Job Type
Long-Term
Job Summary-

The Pre-Visit Specialist contacts all scheduled patients to obtain current demographic information, verify insurance information, collect co-payments and pre-payment amounts, and ensure pre-authorization and referral requirements are secure prior to the patients' scheduled appointments. The Pre-Visit Specialists works collaboratively with scheduling, financial counseling, referral management, authorization, and registration staff members to ensure patient wait times are minimized on the day of service. The pre-service process contributes to reduced patient wait times, improved patient satisfaction, and reduced denials stemming from front-end activities.

Essential Job Functions-

Ensures and adheres to strict confidentiality when handling patient charts, records, and scheduling information. Accurately pre-registers patients into the EPIC system by collecting and recording demographic, insurance, financial, and clinical data in the computer system while also recording and collecting necessary patient account documents. Verifies patient's insurance eligibility and benefits. Collects self-pay balances, pre-payment amounts, and co-pays per guidelines. Creates accounts for new patients and update accounts for previous patients to ensure accurate services and account processing.

Interprets physician orders and referrals to determine service needs and schedule patient visits while coordinating appointments with other departments to meet the needs of the patient and provider. Calculates patients' copays, deductibles and co-insurance along with attempting to collect patient cost-sharing amounts, while working to reduce bad debt balances.

Utilizes appropriate strategies to activate and/or verify the insurance coverage of patients and obtain information such as co-payment, and co-insurance amounts. Maintains knowledge of and complies with third-party payers' requirements for verifying insurance information, obtaining authorizations/pre-certifications, and completing other activities to ensure services are billed and reimbursed appropriately. Reviews Medicare accounts for completed Medicare Secondary Payer Questionnaire (MSPQ). Follows up on missing or incomplete pre-authorizations and contacts patient to advise them of possible financial responsibility and connect them with a financial counselor if necessary.

Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details. Ensures patients have logistical information necessary to receive their service (i.e. appointment place and time, directions to facility) and thoroughly documents all conversations with patients and insurance representatives.

Performs other duties as assigned or needed to meet the needs of the department/organization.

Education & Experience-

Associate's in Heartcare or a related field preferred

Minimum of 1 year of related experience required

Knowledge & Skills-

Demonstrates proficient computer skills with a high degree of accuracy - variety of computer tasks. -Required

Demonstrates excellent customer service skills. - Required
Demonstrates the ability to be a team player, able to handle conflict and adapt to change. -Required

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