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Description

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Summary:

The Comprehensive Pre-Arrival Specialist II works with a multi-disciplinary team that supports all processes around financially clearing patients before their arrival. This position is reviews and processes all required procedures for clearing patients prior to their scheduled event. This role assists with monitoring, reporting, and communication of department-specific and payer trends in order to optimize overall revenue cycle performance and reimbursements while complying with federal, state and payer specific requirements.

Responsibilities:

• Verifies insurance information that may have not been completed during the pre-registration/scheduling process to ensure compliance with federal and state regulatory bodies. Assists in the training of staff and documents results via PAU Orientation Checklist. Audits team member’s workflow for accuracy and documents findings to Management.

• Reviews providers’ orders and notes for key elements and processes them via Electronic Medical Recordkeeping (EMR) system workflow. Contacts provider offices, payers and/or payer websites to secure and validate authorization information.

• Performs POS Collection functions (primarily in conjunction with the pre-registration process). Using defined workflows, contacts the patient with estimated financial liability and presents options for payment as directed. Collects payment and posts to EPIC.

• Performs post-procedure and post-clinic care audits. Organizes and facilitates education for provider and clinic staff on improving revenue optimization based on audit. Participates in the day-to-day implementation and optimization of Epic Optimization opportunities. Collaborates with appropriate Billing Specialist on addressing operational revenue improvement opportunities with providers and clinic staff of complex patient procedure audit findings.

Other information:

Qualifications

Required

• High School diploma or equivalent.

• Two years of patient access, revenue cycle or other medical billing related experience.

• Demonstrated ability to perform pre and post-procedure/care audits.

• Strong verbal and written communication

Preferred

• Education or formal training in Medical terminology

Qualifications

_Required:_

+ High school diploma or equivalent

_Preferred:_

+ Some experience preferred

Job Details

Legal Employer: Pardee - HCHC

Entity: Pardee UNC Health Care

Organization Unit: Patient Accounting

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: PARDEESUPP

Exempt From Overtime: Exempt: No

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.