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- Tasks: Assist with scheduling and pre-registration while providing top-notch customer service.
- Company: Northeast Georgia Health System is dedicated to improving community health.
- Benefits: Flexible PRN schedule, supportive team environment, and opportunities for personal growth.
- Why this job: Join a mission-driven team that values your contributions and offers real-world experience.
- Qualifications: High School Diploma or GED; previous experience in a hospital setting preferred.
- Other info: Entry-level position with potential for career advancement in healthcare.
The predicted salary is between 28800 - 43200 £ per year.
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Job Category:
Clinical Support
Work Shift/Schedule:
Varies
Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.
About the Role:
Job Summary
Under the supervision of the Patient Access Service Center Supervisor/Manager, this position is responsible for ensuring the delivery of outstanding customer service while scheduling, obtaining complete and accurate patient demographic information, identifying patient benefits and eligibility, obtaining pre-certification approvals from insurance companies and Physicians offices, identifying insurance and/or patient responsibility, collecting identified co-pay/deductible and/or providing financial counseling when appropriate, and completing the pre-registration process.
Minimum Job Qualifications
- Licensure or other certifications:
- Educational Requirements: High School Diploma or GED
- Minimum Experience:
- Other:
Preferred Job Qualifications
- Preferred Licensure or other certifications:
- Preferred Educational Requirements:
- Preferred Experience: Two(2) years previous hospital registration/business office experience
- Other:
Job Specific And Unique Knowledge, Skills And Abilities
- Ability to work independently, emotionally mature, and able to function effectively under stress
- Good communication skills
- Excellent problem solving and analytical skills
- Excellent written and oral communication skills
- Ability to prioritize, organize, and coordinate daily work load
- Working knowledge of Protected Health Information
- Ability to manage change
- Must possess detailed understanding and knowledge of insurance guideline and protocols, the components of full verification, and payor information / requirements
Essential Tasks And Responsibilities
- Responsible for data entry into scheduling system (for OR, Cardiology, and Radiology areas as assigned) including all information obtained from patient, Physician, and/or surgery staff. This data is including, but not limited to, correct procedures, diagnosis codes, and patient insurance information.
- Responsible for identifying available times for scheduled procedures; ensures prompt scheduling to meet the convenience of patients, however, allows adequate time to complete insurance verification and authorization process as efficiently as possible without compromising the procedure.
- Performs medical necessity checks on all appointments in which it is applicable; completes ABN notification upon any failure to meet medical necessity.
- Obtains complete and accurate insurance information and completes insurance verification by contacting patients, Physician offices and insurance/payer regarding the visit; verifies patient’s insurance eligibility and benefits with the information obtained.
- Works according to standard operating procedure during ADT/system downtimes.
- Identify patient\’s history in all Patient Access Systems to avoid duplication of medical records.
- Responsible for capturing and documenting all pertinent patient demographic, subscriber, and insurance information i.e.; patient policy and ID numbers, subscriber, guarantor, payor address, phone number, and contact information. Documentation must include, effective date, copay, deductible, out of pocket, co-insurance, percentage of coverage and any other pertinent information concerning the specific hospital visit into the ADT system.
- Reviews work and assures accuracy in all aspects of the position; particularly, procedure scheduled, patient type, pavilion code, insurance information, and demographic information to minimize error rate and time delays in other areas.
- As assigned, responsible for assuring all scheduled and non-scheduled inpatient and outpatient accounts are authorized either in advance or on the day of the service/admission date and within the time frames and guidelines set forth by the organization and payer; pre-certification is expected to be documented timely and appropriately.
- Responsible for assessing financial responsibility for scheduled patients; communicates financial liabilities to patients prior to service date when applicable; collects pre-service payments; educates patients on billing process for the facility; refers patients for financial counseling if applicable.
- Responsible for working with Physician offices and ancillary departments to ensure patient satisfaction is met in all aspects of their duties (including, but not limited to; scheduling, pre-registration, pre-certification).
- Performs any and all related job duties as assigned; may have additional department specific duties assigned as deemed necessary by management.
- Expected to answer, manage, and satisfy the customer during all incoming calls as appropriate to their specialty, and to meet department assigned goals relating to outbound calls, average speed to answer, max delays, AUX times, abandonment rate, and ACD time. In addition, expected to meet all customer service standards as set forth by management.
- As assigned, expected to review accounts for order accuracy; responsible for contacting Physician offices with discrepancies or concerns regarding the scheduled appointment.
- As assigned, responsible for indexing and labeling all faxed Physician orders timely and efficiently.
- Understands and utilizes all systems appropriately as related to scheduling, pre-registration, insurance verification, estimations, electronic order system, pre-certification, and phone quality controls.
- Expected to meet all goals set by department management to include, but not limited to; productivity, accuracy, collections, and customer satisfaction.
Physical Demands
- Weight Lifted: Up to 20 lbs, Frequently 31-65% of time
- Weight Carried: Up to 20 lbs, Frequently 31-65% of time
- Vision: Moderate, Constantly 66-100% of time
- Kneeling/Stooping/Bending: Occasionally 0-30%
- Standing/Walking: Occasionally 0-30%
- Pushing/Pulling: Occasionally 0-30%
- Intensity of Work: Occasionally 0-30%
- Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
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PASC Representative - Scheduling / Pre-Registration - PRN Weekdays employer: Northeast Georgia Health System
Contact Detail:
Northeast Georgia Health System Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land PASC Representative - Scheduling / Pre-Registration - PRN Weekdays
✨Tip Number 1
Familiarise yourself with the specific scheduling and pre-registration processes used in healthcare settings. Understanding how to navigate these systems can give you a significant edge during interviews.
✨Tip Number 2
Brush up on your communication skills, especially in handling difficult situations. Being able to demonstrate your ability to manage patient inquiries and concerns effectively will be crucial for this role.
✨Tip Number 3
Network with current or former employees of Northeast Georgia Health System. They can provide valuable insights into the company culture and expectations, which can help you tailor your approach.
✨Tip Number 4
Prepare to discuss your experience with insurance verification and financial counselling. Highlighting relevant experiences can show that you are well-equipped to handle the responsibilities of the PASC Representative role.
We think you need these skills to ace PASC Representative - Scheduling / Pre-Registration - PRN Weekdays
Some tips for your application 🫡
Understand the Role: Before applying, make sure to thoroughly read the job description for the PASC Representative position. Understand the key responsibilities and required skills, such as customer service, data entry, and insurance verification.
Tailor Your CV: Customise your CV to highlight relevant experience, especially any previous roles in hospital registration or customer service. Emphasise skills like problem-solving, communication, and your ability to work under pressure.
Craft a Strong Cover Letter: Write a cover letter that specifically addresses why you are a good fit for this role. Mention your understanding of patient access services and how your background aligns with the responsibilities outlined in the job description.
Proofread Your Application: Before submitting, carefully proofread your application materials. Check for spelling and grammatical errors, and ensure that all information is accurate and clearly presented to make a strong impression.
How to prepare for a job interview at Northeast Georgia Health System
✨Understand the Role
Make sure you thoroughly read the job description and understand the responsibilities of a PASC Representative. Familiarise yourself with terms like pre-registration, insurance verification, and patient demographics, as these will likely come up during your interview.
✨Showcase Your Communication Skills
Since this role involves a lot of interaction with patients and healthcare professionals, be prepared to demonstrate your excellent communication skills. Practice answering questions clearly and concisely, and consider sharing examples of how you've effectively communicated in previous roles.
✨Prepare for Scenario Questions
Expect scenario-based questions that assess your problem-solving abilities and how you handle stressful situations. Think of examples from your past experiences where you successfully managed difficult situations or resolved conflicts, especially in a healthcare setting.
✨Highlight Your Attention to Detail
This position requires accuracy in data entry and insurance verification. Be ready to discuss how you ensure attention to detail in your work. You might want to mention any specific tools or methods you use to minimise errors and maintain high standards.
