*Patient Connection Verification Associate I, FT/Days (REMOTE), Piedmont Healthcare

Job Number: 2201240

Piedmont Healthcare Corporate - Atlanta, Georgia
Shift/Schedule: Full-time


Description

Serves as front line support for the Patient Connection Center within Piedmont Healthcare. Reviews orders for outpatient hospital services to ensure completeness prior to scheduling. Prepares for the patient visit by verifying patient insurance, confirming benefits, determining authorization requirements, reviewing medical necessity, and creating patient liability estimates.

KEY RESPONSIBILITIES:
Responsible for reviewing hospital outpatient service orders for accuracy.
Verify patient demographic information and insurance.
Confirms benefits and determines if any authorization requirements are needed
Reviews medical necessity and creates patient liability estimates.
Calculates and determines financial responsibility for patients including deductibles, co-payments, and amounts covered for requested services.
Ensure all data elements pertaining to the requested services are entered in Revenue Cycle systems.


KNOWLEDGE, SKILLS, ABILITIES
Skill and ability to communicate effectively both verbally and in-writing and make out-going phone calls.
Skill and ability to handle multiple priorities and deadlines.
Ability to work as a member of a team.
Skill and ability in Microsoft Office applications.
Skill and ability to work effectively in EPIC.
Familiar with medical terminology ICD-10 and CPT codes.
Strong math and benefit knowledge of payers with ability to calculate financial responsibility.
 


Requirements

MINIMUM EDUCATION REQUIRED:
High School graduate or GED


MINIMUM EXPERIENCE REQUIRED:
1 (One) year exp in Healthcare Revenue Cycle or related exp in clerical accounting/finance.


MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None.


ADDITIONAL QUALIFICATIONS:
Three (3) years of healthcare Revenue Cycle experience preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred. Prior Epic experience preferred.

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Diversity & Inclusion

At Piedmont Healthcare we embrace diverse ideas, perspectives, and skills to create a collaborative workplace where the best talent wants to succeed. We celebrate differences and recognize that they allow us to care for our community.


Excellence at Work

Piedmont is a certified Great Place to Work™-- a national designation based on employee feedback about trust, workplace culture and experience. In 2019, Forbes named Piedmont one of Georgia’s 10 best employers and the highest-ranked healthcare provider.



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