Pre-Service Patient Estimate Rep - Full Time - Benson Tower

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.At Ochsner, 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 Health 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 patient's arrival for scheduled service(s).Education

Required:

High School diploma or equivalentPreferred:

Associates Degree or Bachelor DegreeWork Experience

Required:

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

Use of EPICKnowledge 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 utilizing the EPIC system.Completes and/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.This employer maintains and complies with its 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.The employer 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.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.Are you ready to make a difference? Apply Today!Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Maryland, New York, Washington, and Washington D.C.Ochsner Health 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 Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.We are proud to be an Equal Employment Opportunity and Affirmative Action employer. We are committed to the principles of equal employment opportunity and providing a workplace that is free from discrimination based on race, color, creed, religion, pregnancy status, pregnancy-related conditions, national origin, ancestry, mental or physical disability, medical condition, age, veteran status, military status, citizenship status, marital status, familial status, sexual orientation, gender, gender identity or expression, genetic information, political affiliation, unemployment status, or any other characteristic protected under applicable federal, state or local law. These protections extend to applicants and all employment related decisions. View the

EEO is the Law poster

and its

supplement

, as well as the

pay transparency policy

for more information.Affirmative Action Policy Statement

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