CALL CENTER REPRESENTATIVE

• Verifies insurance benefits. 
• Processes accounts to ensure that patients are preregistered & required insurance authorizations and/pre-certifications are obtained prior to the date of service. 
• Communicates with patients and insurance companies regarding coverage, deposits, and other related matters. Discusses benefits with patients, responds to patient/third party inquiries, and makes referrals. Schedules patient’s procedures. Informs patients of pre-op instructions. 
• Performs scheduling/referral duties according to established procedures.
• Prepares patient schedules/documentation for departments.
• Completes insurance verification/pre-certification according to payor requirements; identifies outpatient procedures that require pre-certification/second opinion; obtains required information from physician; pre-certifies inpatient admissions.
• Requests pre-payments and informs patients of discounts.
• Completes Medicare Questionnaire; ensures that medical necessity is established for Medicare/Medicaid patients.
• Others roles and responsibilities as assigned.

Skills/Abilities:

• Excellent communication and interpersonal skills required to discuss financial matters with patients and/or their representative, and to work with all levels of professionals at JCH and in other organizations.  
• Ability to comprehend large amounts of complex information, and explain complex insurance benefits to patients and/or their representatives.  
• Ability to respond to quickly changing priorities and patient needs.
• Demonstrated computer skills and related experience preferred.

Education and Experience:

• High school graduate or equivalency.

Physical Requirements:

• Motor coordination and finger dexterity required to operate computer equipment and other office machines.
• Work is of light demand with routine lifting requirements up to 25 pounds. 

Benefits:

• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Retirement
• Paid Time Off
• Tuition Reimbursement
• Health Savings Account
• Wellness Program
• Employee Assistance Program