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Job Family :
Admitting Representative
Travel Required :
None
Clearance Required :
None
What You Will Do:
The Pre-Admitting Coordinator is responsible for obtaining precertification, and/or validating prior authorization statuses in support of insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ancillary and clinic/ambulatory environments.
In addition, the Pre-Admitting Coordinator may be responsible for pre-appointment registration and insurance review to maximize the submission of a clean claim.
Exemplifies the client’s mission, vision and values and acts in accordance with both Guidehouse Managed Services and Community Memorial Healthcare policies and procedures.
Basic keyboarding skills.
Ability to analyze and interpret data.
·Critical thinking, sound judgment and strong problem-solving skills essential.
Team oriented, open minded, flexible, and willing to learn.
Ability to prioritize and function effectively, efficiently, and accurately in a multi-tasking complex, fast paced and challenging department.
Ability to follow oral or written instructions and established procedures.
Ability to function independently and manage own time and work tasks.
·Ability to maintain Quality Assurance, Productivity and other Key Performance Indicator (KPI) expectations/standards.
·Ability to maintain confidentiality.
What You Need:
High school graduate or equivalent.
1 year of experience in Patient Access, Revenue Cycle, Medical Billing and or Financial Counseling.
Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel).
Excellent communication and outstanding customer service and listening skills.
What Would Be Nice To Have:
Associate degree and or Revenue Cycle certifications.
Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service.
Knowledge of insurance and governmental programs, regulations, and billing processes e.g., Medicare, Medicaid/Medi-Cal, Social Security Disability, ChampVA, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired.
Working knowledge of medical terminology and anatomy and physiology is preferable.
The annual salary range for this position is $42,900.00-$64,300.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer :
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.