PreRegistration/Insurance Verification Team Lead-Parallon

Parallon, a leading health care company is offering a great opportunity. We are looking for dynamic candidates to be part of our team. We offer excellent relocation and benefit packages, including 401K, bonus potential, tuition reimbursement, medical and dental plans, flexible spending plans, long-term/ short -term disability, and generous paid time off! We are in need of an Insurance Team Lead for our Service Center here in Norcross. You will be part of our Pre Reg/Insurance Verification team that covers 22 hospitals located in Georgia, South Carolina, Nevada and California. This is a challenging, metrics-driven environment that requires a self-starter. We offer many opportunities for career growth. DUTIES INCLUDE BUT ARE NOT LIMITED TO: ??? Perform pre-registration and insurance verification according to Shared Service Center (SSC) standards and guidelines ??? Document benefits verification and pre-certification in Meditech Standard Customer Defined screens ??? Contact physician and/or insurance company to resolve issues regarding prior authorization or referral forms ??? Assign Iplans accurately ??? Perform electronic eligibility confirmation when applicable and document results ??? Research Patient Visit History to ensure compliance with the Medicare 72 hour rule per SSC standards and guidelines ??? Complete Medicare Secondary Payor Questionnaire as applicable for retention in Abstracting module ??? Calculate patient cost share and be prepared to collect via phone or make payment arrangement per SSC standards and guidelines ??? Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment ??? Receive and record payments from patient for services rendered per SSC standards and guidelines ??? Utilize appropriate communication system to facilitate communication with facility PTAC and other departments as required ??? Perform insurance verification and pre-certification follow up for prior day???s walk in admissions/registrations and account status changes by assigned facility per SSC standards and guidelines ??? Communicates with hospital based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues per SSC standards and guidelines ??? Utilize Meditech account notes and the Artiva system as appropriate to document benefit, pre-authorization and other necessary information ??? Meets/exceeds performance expectations and completes work within the required time frames ??? Assists manager with the QA process as requested ??? Implements and follows system downtime procedures when necessary ??? Practice and adhere to the ???Code of Conduct??? philosophy and ???Mission and Value Statement??? ??? Other duties as assigned Qualifications: EDUCATION High school diploma or GED required EXPERIENCE To be our top candidate, you must have: Team Lead experience Minimum 1 years Insurance Verification experience Minimum 1 years Precertification/authorization experience with surgery/radiology/inpatient/outpatient/hospital/physician's office Registration/patient access experience in Emergency room/outpatient areas Computer Literacy Some medical terminology Medicare/Medicaid guidelines knowledge Knowledge of Managed care contracts Telephone usage Contacted insurance companies for verification or precert Customer service experience ***ONLY CANDIDATES WITH SALARY REQUIREMENTS LISTED WILL BE CONSIDERED*** Company Description:At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Milton Johnson serves as Chairman and Chief Executive Officer of HCA.