Pre-Services Representative (Remote)
: Job Details :

Employee Type:

Regular

Work Shift:

Day - 8 hour shift (United States of America)

**Join Team Tidelands and help people live better lives through better health!**

**POSITION SUMMARY:**

The purpose of this position is to obtain prior authorizations or provide financial clearance for patients of Tidelands Health. This role is key to securing reimbursement and minimizing organizational write offs. The Pre-Services Representative must consistently demonstrate skilled communication and troubleshooting techniques as well as excellent customer service skills. This position will have the ability to anticipate and respond to a wide variety of issues/concerns, and the ability to execute tasks efficiently and effectively. The position requires the ability to independently plan, schedule and organize numerous tasks as this position directly impacts hospital and physician reimbursement.

The Pre-Services Representative I is responsible for accurate and complete insurance verification, financial clearance or prior authorizations, and complete pre-registration of all scheduled clinic visits and office-based/provider procedures, while utilizing excellent customer services standards.

Work environment may be on-site, hybrid or remote depending on TH system needs an is subject to change.

**QUALIFICATIONS:**

**EDUCATION** : High School Diploma or equivalent, preferred.

**EXPERIENCE** :

- At least one (1) year of experience in Healthcare Revenue Cycle that includes prior authorization.

- Experience in EPIC preferred

- Knowledge of CPT and ICD coding preferred.

- Knowledge of Medicare and third-party payer regulations and guidelines highly desired.

**KNOWLEDGE/SKILLS/ABILITIES** :

- Ability to interact successfully with the public. Ability to perform effectively despite sudden deadlines and changing priorities; maintaining personal composure in high stress situations.

- Ability to demonstrate a high level of interpersonal skills required to interact with patients, paients' families/visitors and clinical staff.

- Ability to perform with a high degree of accuracy and with meticulous attention to detail. Demonstrate a strong ability to use initiative and judgment and to identify, analyze and solve problems.

**Physical Requirements** **: Light Physical Agility Test (PAT) Rating**

While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

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.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.