Preservice Coordinator, Post Acute

It's more than a career, it's a calling.

MO-SSM Health Mission Hill

Worker Type:

Regular

Job Summary:

Secures scheduled encounters by verifying insurance, identifying, and completing payer authorization requirements, creating, and communicating estimated patient liabilities preservice.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Gathers incoming work orders, clinical information, interviews client/referral source to secure demographic, financial, and qualifying data, while timely securing verification and authorization of benefits; records accurate information to support data integrity and maximize reimbursement potential.
• Verifies insurance details, documents insurance benefits, produces price estimates, and communicates with patients regarding pre-registration and collection items.
• Works collaboratively with insurance companies, providers and staff to ensure plan requirements have been met prior to patient services being rendered in order to maximize reimbursement.
• Operates computer system to record/document and retrieve information to ensure appropriate agency services are provided in a timely manner.
• Effectively utilizes medical terminology to collaborate with physicians, case managers, and branch leaders to effectively identify and coordinate patient care needs.
• Responsible for management of EPIC in-basket and other requested authorizations across the system; specifically reviewing work queues.
• Educates patients and clinical caregivers regarding referral, authorization requirements, payer coverage, eligibility guidelines, and other insurance related changes.
• Completes annual education and licensing requirements timely and at a satisfactory level.
• Works in a constant state of alertness and safe manner.
• Performs other duties as assigned.

EDUCATION

• High School diploma/GED or 10 years of work experience

EXPERIENCE

• 1-3 years’ experience in a medical business office or health care setting involving customer service or patient-facing responsibilities, or equivalent

PHYSICAL REQUIREMENTS

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 

• None

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8071000114 Intake/Admissions

Scheduled Weekly Hours:

40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). 

• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

• Upfront Tu