Navigant Consulting Inc Admissions Representative- Hospital- Navigant- Anniston, AL in Anniston, Alabama
Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.
Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.
The Admissions Representative (full time) is responsible for obtaining and verifying demographic information, insurance benefits and eligibility. Assigns the correct medical record and account number; therefore, providing a database which ensures accurate billing and clinical information. This position performs any and all job related duties as assigned.
Ensure accurate data element
Customer service excellence
Duties to include but not limited to:
Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews physician offices and in-house departments.
Obtains required signatures on legal consents and insurance forms.
Performs required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre-certification, referral or authorization number and updates patients file.
Notifies patients, family members, physicians and/or supervisors of insurance coverage issues, notifies patients of co-payments, deductibles or deposits needed, documenting all information in computer system.
Reviews Physician’s orders for completion and ensures all required information is listed.
Completes Medicare Compliance and obtains ABN if necessary.
Knowledge of all Federal, State and Local Laws pertaining to insurance rules and regulations.
Maintains multiple computer systems.
Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.
Answers telephone calls. Follows pre-established script and provide assistance to callers.
Completes all shift duties in a timely and accurate manner.
Complies with all safety regulations, policies and procedures as defined by Customer.
High School Diploma or equivalent preferred.
Basic College Courses in Healthcare Occupation preferred.
Minimum Experience 1 year experience in a hospital setting utilizing data entry skills, insurance websites and various software applications preferred.
Ability to type a minimum of 35 CWPM.
Medical terminology preferred.
Prior experience utilizing ICD-9 and CPT coding is preferred.
Ability to greet and effectively relate to patients, physicians and staff.
Computer skills and proficient in Microsoft Office software programs.
Great organizational skills and the ability to set priorities and manage time effectively.
Great interpersonal skills and the ability to communicate effectively both orally and in writing.
Able to maintain professional demeanor in high stress environment.
Ability to deal with pressure and complaints.
Presents oneself in a professional manner through appearance and conduct.
Certification/Registration Certified Healthcare Access Associates (CHAA) preferred.
Strong conceptual, as well as quantitative and qualitative analytical skills
Work as a member of a team as well as be a self-motivator with ability to work independently
Constantly operates a computer and other office equipment to coordinate work
Frequently travels by airplane, train or car as necessary to perform work at another location
Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data
Generally works in an office environment
Navigant Cymetrix 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.
Navigant 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.