How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (United States of America)

Job Summary:

The Patient Account Representative is responsible for obtaining and entering pertinent information required for registration; verifies patient insurance and financial responsibility. The Patient Account Representative communicates benefits and financial responsibility to patients. The Patient Account Representative maintains current knowledge of insurance.

Core Responsibilities and Essential Functions:

__Clerical and Clinical Responsibilities__ a. Maintain several Login IDs & expertise in various insurance pre-certification and authorization processes. b. verification of benefits and authorizations with multiple insurance companies c. Working knowledge of 2 different systems: Epic and WebPT d. Perform estimation of patient payments e. Speak with patients regarding benefits and financial responsibility; answer questions f. Create financial responsibility forms and accurate documentation into computer g. Upload all verification of benefits into 2 systems h. Timely communication with all Rehab clinics regarding patients __Customer Focus and Communication__ a. Provides appropriate telephone etiquette and scripting. b. Must be flexible with work hours to meet department needs c. Meets service recovery and customer service guidelines d. Keep current & Convey knowledge of various insurance plans to customers as needed. e. Works well with Staff and understands appropriate department process. f. Identify & Request additional info as needed to complete authorization requests __Mentoring, Training and Education__ a. Keep current knowledge of insurance companies process. b. Assist Supervisor with training of new employees Performs other duties as assigned Complies with all WellStar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

• High School Diploma General or GED General

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):

Required Minimum Experience:

Worked in healthcare setting performing prior authorizations. Required Minimum 2 years experience in insurance / precertification Preferred Minimum 1 year of one year experience Required

Required Minimum Skills:

Good communication skills and organizational skills. Computer skills including Excel; Knowledge of medical terminology, CPT codes, HCPCS & ICD-9/ICD-10 codes. Detail understanding and interpretation of Explanation of Benefits (EOBs).

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.