Urgent Admission Specialist, FT, Days- Remote

Inspire health. Serve with compassion. Be the difference.

Job Summary

Accountabilities

Full Time

• Acts as the initial point of contact to all payors for Inpatient admissions and Observation. Includes timely submission of appropriate documentation as required by the payor(s) for the initial authorization/notification purposes.
• Ensures appropriate statistical data is obtained for patients in assigned patient population areas; communicating with payors timely and accurately.
• Updates and maintains authorization numbers and approved days in registration and/or other applicable systems as appropriate. Secures discharge dates for payers as assigned.
• Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor.  Information obtained through insurance verification must always be documented in the system. Ensures insurance priorities are correct based on third party requirements/COB.
• Initiates pre-certification process as required according to departmental guidelines. 
• Interviews patients or representatives (in accordance with HIPAA and EMTALA Guidelines) to secure information relative to financial status, demographic data and employment information when necessary.  Enters accurate information into computer database. Accesses Sovera to review ensure the most recent insurance card is on file. Follows up for incomplete and missing information. 

Supervisory/Management Responsibilities

This is a non-management job that report to a supervisor, manager, director or executive.

Minimum Requirements

Education - High School diploma or equivalent

Experience - 3 years Revenue Cycle, Patient Access /Billing,  Collections and/or Customer Service

Required Certifications/Registrations/Licenses

n/a

In Lieu Of The Minimum Requirements Listed Above

n/a

Other Required Skills and Experience

• Medical Terminology
• Basic computer skills
• Knowledge of office equipment
• Proficient computer skills (word processing)
• Data entry

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.