Pre- Arrival Unit Representative - Part Time
Core
Verify patient insurance eligibility and coverage, obtain authorizations, and pre-certify services to ensure seamless patient care.
Role type
part-time clerical patient access representative
Builds
patient access workflows and insurance authorization approvals
Domain
healthcare administration / revenue cycle management
Required skills
insurance verification, HIPAA compliance, CPT/diagnosis code knowledge, data entry, Microsoft Word/Excel
Responsibilities
Verify patient insurance eligibility and coverage; Maintain strict confidentiality and adhere to all HIPAA guidelines; Leverage CPT and diagnosis codes to obtain authorizations; Obtain approval for services scheduled by external providers; Pre-certify services and outpatient procedures; Complete Notification of Admission (NOA); Communicate with patients, insurers, and relevant parties regarding insurance verification.