Pre-Service Rep - Shreveport

Pre-Service Rep – Shreveport

Ochsner LSU Health invites applicants for the Pre-Service Rep – Shreveport role.

This job is responsible for assisting patients by communicating with insurance payors via telephone, fax, internet, and other methods to determine eligible benefits and acquiring Pre‑Certification(s) when deemed necessary by the insurance payor. Additionally, the role is responsible for communicating patient liability after pre‑certification has been obtained and ensuring the pre‑service process is completed in advance of the patient’s arrival for scheduled service(s).

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.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be an all‑inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

• Required – High School diploma or equivalent

• Preferred – Associates Degree or Bachelor Degree
• Required – 1 year related experience in a hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job.

• Preferred – Experience With Of EPIC

• Must have computer skills and dexterity required for data entry and retrieval of patient information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Must be proficient with Windows‑style applications, keyboard, and various software packages specific to role.
• Strong interpersonal skills.
• Ability to multi‑task.
• Ability to perform effectively in a fast‑paced ever‑changing environment.
• Ability to remain calm and professional in high‑pressure/stressful situations regarding patient financial and medical conversations.
• Reliable transportation to travel to other facilities to fill in as needed.

• Prepares, validates, and completes all steps necessary to clear new cases for pre‑scheduled services. This includes, but is not limited to, validating and gathering insurance and demographic information.
• Interacts with insurance companies via website, phone, or fax to verify benefits, obtain authorizations, identify insurance guidelines, and facilitate communication.
• Gathers information to verify benefits and benefits eligibility by utilizing the EPIC system.
• Completes and obtains all necessary authorizations for the service(s) to be performed. Works with the clinical providers, on‑site case management team, as well as LPN/RN or Nurse Auditor in the pre‑service department.
• Performs pre‑service collection estimation functions and communicates patient liability.
• Provides point‑of‑service information and logistics to ensure an exceptional patient experience.
• Other related duties as required.

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. Light Work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects.

Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls;

and/or (3) when the job requires working at a production rate pace entailing…