Pre-Service Rep- Financial Clearance Call Center- Remote

<p style="text-align:left"><b><span>We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, <span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span class="WLM0"><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">and innovate.  We believe</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span> that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.  </span></b></p><p style="text-align:inherit"></p><p style="text-align:left"><b><span>At Ochsner, whether you work with patients <span>every day</span> 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! </span></b></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>This job is responsible for communicating financial liability with patients prior to their scheduled appointments to ensure compliance with the Financial Clearance Process. Responsibilities include both inbound and outbound patient calls, accepting payments, and pre-registering patient accounts by verifying demographic and insurance payer information. This position also involves communicating with clinical providers when required.<p>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.</p><p></p><p>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 company's discretion.</p><p></p><p><b><u><span>Education</span></u></b></p><p>Required – High school diploma or equivalent<br>Preferred – Associates Degree or Bachelor’s degree in Healthcare</p><p></p><p><b><u><span>Work Experience</span></u></b></p><p>Required – Minimum of 1 year of experience in a healthcare or related setting such as hospital, clinic, medical office, or in business service/revenue cycle (front-line registration, financial counseling, call center, or customer service).</p><p>Preferred – Experience using the Epic system</p><p></p><p><b><u><span>Knowledge Skills and Abilities (KSAs)</span></u></b></p><ul><li>Proficiency in Windows-based applications, EPIC, and accurate data entry/keyboard skills.</li><li>Effective verbal and written communication skills and ability to present information clearly and professionally; able to explain financial information to patient and staff.</li><li>Familiar with insurance benefits, authorizations, billing processes, and regulatory guidelines.</li><li>Able to stay calm and professional in stressful situations; strong problem-solving skills.</li><li>Strong interpersonal skills.</li><li>Good organizational, time management, and conflict resolution skills.</li><li>Works well with others, uses good judgement, maintains confidentiality, and can work independently.</li></ul><p></p><p><b><u><span>Job Duties</span></u></b></p><p></p><ul><li>Responds to patient inquiries regarding financial obligations for upcoming services through inbound and outbound calls.</li><li>Verifies patients’ demographics, insurance benefits and patient eligibility using EPIC and related systems.</li><li>Confirms insurance coverage for scheduled services and collects accurate demographic and financial data.</li><li>Provide patients with cost estimates, including co-pays, deductibles, self-pay amounts, and explain out of pocket responsibilities.</li><li>Educates patients on payment options and explains the financial impact of coverage alternatives.</li><li>Serves as a liaison between patients, guarantors, providers, and internal departments to ensure compliance with financial clearance processes.</li><li>Collects and documents patient and guarantor information accurately across systems.</li><li>Attempts to collect payment in advance of services, processes payments, reconciles accounts, and balances cash drawers per departmental procedures.</li><li>Delivers exceptional customer service to maintain high patient satisfaction and timely resolution of financial inquiries.</li><li>Performs other related duties as assigned.</li></ul><p></p><p>The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.</p><p></p><p>Remains knowledgeable on current federal, state, and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations, and standards.</p><p></p><p>This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.</p><p></p><p><b><u>Physical and Environmental Demands</u></b></p><p>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.</p><p></p><p>Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.</p><p></p><p>Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.</p><p>The incumbent has no occupational risk for exposure to communicable diseases.</p><p></p><p>Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.</p><p></p><p><b>Are you ready to make a difference? Apply Today!</b></p><p></p><p><i><b>Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.</b></i></p><p></p><p><i><b>Please refer to the job description to determine whether the position you are interested in is remote or on-site.</b></i> <i>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.</i></p><p></p><p><i><b>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 </b></i><a href="mailto:careers@ochsner.org" target="_blank" rel="noopener noreferrer"><i><b>careers@ochsner.org</b></i></a><i><b>. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.</b></i></p><p></p><p>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.</p><p></p>

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