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PreCertification Coordinator

Company: Parallon
Location: Richmond
Posted on: September 19, 2019

Job Description:

Description SHIFT: Work From Home

SCHEDULE: Full-time

Precertification--Coordinator - Full Time Days
Do you want to be a part of afamily and not just another employee? Are you looking for a work environmentwhere diversity and inclusion thrive? Submit your application today and findout what it truly means to be a part of a team.--At HCA Healthcare, you haveoptions. You can choose from a variety of benefits to create a customizableplan. You have the ability to enroll in several medical coverage plansincluding vision and dental. You can even select additional a la carte benefitsto meet all your needs. Enroll in our Employee Stock Purchase Plan (ESPP),401k, flex spending accounts for medical and childcare needs, and participatein our tuition reimbursement and student loan repayment programs. --HCA Healthcare is dedicated tothe growth and development of our colleagues. We will provide you the tools andresources you need to succeed in our organization. We are currently looking foran ambitious PTAC Central UnitRepresentative to help us reach ourgoals. Unlock your potential here!--As a PTAC Central Unit Representative, you will responsible for timely and accurate processesassociated with some or all of the following: --- Pre-registration --- Insurance verification --- Pre-Certification --- Insurance Notification ----What you will do in thisrole:----- Perform pre-registration and insuranceverification within 3-5 days prior to date of service for both inpatient andoutpatient services. For notification received with less than 3 days--- advancednotice perform within 24 hours of notification. --- Follow scripted benefits verification andpre-certification format in Meditech custom benefits screen and record benefitsand pre-certification information in the approved standard format --- Assign Insurance Plans (IPlan---s) accurately --- Perform electronic insurance eligibilityconfirmation when applicable and document results --- Complete Medicare Secondary PayorQuestionnaire as applicable for retention in imaging system (i.e. OnBase) --- Calculate patient cost share and be preparedto collect via phone or make payment arrangement --- Contact patient via phone (with as muchadvance notice as possible, preferably 48 hours prior to date of service) toconfirm or obtain missing demographic information, quote/collect patient costshare, and instruct patient on where to present at time of appointment --- Receive and record payments from patient forservices scheduled. --- Utilize appropriate communication system tofacilitate communication with hospital gatekeeper --- Ensure appropriate documentation is enteredin standard format on the patient record. This should be performed in theapplicable Health Information System (i.e. Meditech) and if necessary any othersubsidiary systems if they are not automatically updated. Qualifications EDUCATION High school diploma or GED required. --EXPERIENCE One year of related experiencerequired.-- --Parallonis an industry leader in revenuecycle services. We partner with over 650 hospitals and 2,400 physicianpractices nation-wide. Our parent company, HCA Healthcare has been consistentlynamed a World---s Most Ethical Companyby Ethisphere and is ranked in the Fortune 100.--We are a family 270,000 strong!Our Talent Acquisition team is reviewing applications immediately. Highlyqualified candidates will be promptly contacted by our hiring managers forinterviews. Submit your resume today to join our community of caring! --We are anequal opportunity employer and value diversity at our company. We do notdiscriminate on the basis of race, religion, color, national origin, gender,sexual orientation, age, marital status, veteran status, or disability status.

Company Description:

HCA Healthcare is a collaborative healthcare network, driven by physicians, nurses and colleagues helping each other champion the practice of medicine to give people a healthier tomorrow. With a comprehensive network of more than 270,000 people across approximately 1,800 care facilities, our scale enables us to deliver great outcomes for our patients, provide superior nursing care and be a preferred place for physicians to practice medicine. We never stop in our pursuit of insights and care advances based on the knowledge and data we gain from approximately 30 million patient encounters a year. Every day, we raise the bar to improve the way healthcare is delivered, not just in our facilities, but everywhere. We---re committed to improving more lives in more ways, and above all else, we are committed to the care and improvement of human life.

Keywords: Parallon, Virginia Beach , PreCertification Coordinator, Other , Richmond, Virginia

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