Weve 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).
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
Job Summary
This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the companys discretion.
Requirements
Education: Required - High School diploma or equivalent Preferred - Associates Degree or Bachelor Degree
Work Experience: Required - 1 year related experience in a related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job Preferred - Experience with EPIC
Knowledge, 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 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.
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.
Equal Opportunity Employer
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.
Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
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. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.