Preregistration Specialist

Preregistration Specialist

Full time, 36 hours per week

We offer competitive salary, benefits (including medical, dental, vision), retirement, PTO, and recognize 9 paid holidays.

If you are a compassionate professional who provides exceptional quality care, Jordan Valley is for you! We are Missouri's largest Federally Qualified Health Center founded in 2003 and we serve 75,000 patients each year. The mission of Jordan Valley is to improve the health of our community by providing high-quality and accessible medical, dental, and behavioral health services to Southwest MO. We're collaborative and believe in always going above and beyond as part of our commitment to deliver excellent care to our community!

Job Overview:

The Preregistration Specialist is responsible for providing accurate and timely preregistration of patients ensuring the smooth flow of revenue within healthcare organizations. By collecting and verifying insurance information upfront, the preregistration team helps minimize claim denials and delays in reimbursement.

Duties:

• Verifying patient identity and ensuring all necessary forms are completed accurately.
• Entering patient information into the hospital or clinic's electronic health record (EHR) system.
• Contacting insurance companies to verify patient insurance coverage, including eligibility, benefits, and coverage limitations including frequency.
• Confirming the patient's insurance plan details, such as policy number, group number, and effective dates.
• Determining any required pre-authorizations or referrals necessary for services.
• Communicating with patients regarding their insurance coverage and any potential out-of-pocket costs, such as copayments or deductibles.
• Collaborating with other departments, such as billing and clinical staff, to ensure accurate and timely processing of patient information.
• Communicating effectively with patients to address questions or concerns regarding their insurance coverage or registration process.
• Providing support and assistance to patients who may need help navigating insurance-related issues or financial assistance programs.
• Monitors self-pay accounts, assesses need for internal collection action and connects them with payment plan administrators.
• Research old balances and work with patient account representatives to assist patients in accurate and satisfactory recovery of insurance benefits.
• Ensures the treatment plan and appointment details align with coverage and the patient's chart is clean and accurate.

Benefits

Our benefits are designed to encourage a healthy work-life balance.

• Health (Both HSA and FSA options and access to our Telemedicine program)
• Vision
• Free dental and life insurance, and long term disability. Affordable rates for family dental and life insurance.
• 403b retirement match on the 1st of the month after 30 days.
• Employee Assistance Program
• Day One PTO Accrual
• 9 Paid Holidays
• Free On Site Fitness Facility at our Springfield Tampa Clinic

Required Qualifications:

• 1 year in medical registration, medical billing, or insurance verification.

Preferred Qualifications:

• High school diploma or GED.

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