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Full-time
associate degree
Posted 11d ago
~40 hrs/week
Responsibilities
Facilitates the conversion of referrals to admissions by managing the intake process and verifying insurance eligibility. Coordinates with referral sources and insurers to ensure accurate documentation and maximize reimbursement.
Requirements
Requires at least 2 years of experience and proficiency in Microsoft Office, with a preference for an Associate's degree. Candidates must have knowledge of Medicare, Medicaid, and commercial insurance along with medical terminology.
Full job description
POSITION SUMMARY:
Facilitates the conversion of referrals to admissions through the completion of the intake process and the use of effective phone and customer service skills.
ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:
• Complete financial clearance for all referrals by determining eligibility.
• Process referrals to assure pre-qualifying of patients efficiently.
• Verifies all primary and secondary insurance information for all incoming patients to include service coverage, benefit maximums and limitations, co-insurance/co-payment, pre-existing clause, coverage
• Determine effective and termination dates, type of plan, and provider network status.
• Complete all information with attention to timely filing dates and special filing requirements.
• Analyze admission data and prepare assigned reports
• Loads all patient demographic insurance and benefit information into appropriate software system
• Communicates effectively with the referral sources and team members to support the business partnerships being developed by the sales team
• Establish positive relationships with insurers and managed care entities; Third party payors and Case Managers.
• Obtain complete and accurate information to facilitate the admissions process and to maximize the likelihood of reimbursement.
• Utilizes reports to assure accurate and timely information is documented in the appropriate software system.
• Excellent Communication, Customer Service & Time Management Skills
TRAINING, SKILLS, AND EXPERIENCE AND EDUCATION REQUIREMENTS:
• Associates Degree preferred
• 2+ years’ experience in
• Proficient in Microsoft Office, Word & Excel
• Understanding of patient compliance issues, Medicare, Medicaid and Commercial Insurance
• Excellent communication skills and customer service
• Familiarity with Medical Terminology
• Experience working in a call center environment
• Ability to multi-task, problem solve and demonstrate critical thinking skills.
Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.
We are eager to connect with you! Apply Now to get started at PruittHealth!
As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.
For Florida Job Postings Only:
For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com
At PruittHealth, Family Makes Us Stronger, and it is at the center of everything we do. We don’t just hire employees. We welcome partners into our family.
Since its inception in 1969, PruittHealth has been a family-owned, innovative organization committed to providing exceptional care across a wide spectrum of services including: skilled nursing, assisted & independent living, home health, end-of-life hospice, rehabilitation, pharmacy/infusion services, and more.
Today, the organization spans across the Southeast, touches 170 communities, cares for 24,000 patients daily, and is driven by 13,000 passionate partners.
For more information please visit: www.PruittHealth.com
Notice of Nondiscrimination: http://bit.ly/2eHoI5B
How much do Customer Service & Support jobs in Georgia pay?
Based on 1787 listings with disclosed salaries, most customer service & support jobs in Georgia pay between $46k–$110k per year. Individual offers vary with seniority, company size, and specialization.
How many Customer Service & Support jobs are open in Georgia right now?
There are currently 22,542 open customer service & support positions in Georgia listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Customer Service & Support roles in Georgia?
Companies currently hiring include Domino's, CVS Health, Lowe's Companies, Inc., Great Clips Inc., AutoZone, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Customer Service & Support jobs in Georgia?
Yes — 1526 of the 22542 open customer service & support positions offer remote or hybrid work (810 remote, 716 hybrid).
How do I apply for Customer Service & Support jobs in Georgia?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
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