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Nashville, TN Full Time Posted by: Pearl Interactive Network Posted: Saturday, 15 January 2022
*Pearl Interactive Network is seeking to hire Pre-Service Navigators - Remote.* The.*Pre-Service Navigator* is an integral one in the Revenue Cycle to schedule and pre-register appointments in the Call Center..*Why choose Pearl Interactive Network?* Join Our Team and embrace the winning Pearl Culture which promotes our employee's desires and efforts to serve our consumers, clients, and community. Our values of customer satisfaction, teamwork, a family atmosphere, quality services, respect for each other, transparency, and innovation are what make Pearl, the employer of choice. As a woman-owned, HUBZone certified social enterprise, Pearl offers hiring priority to our Veterans, Military Spouses, and their families, as well as individuals with disabilities..*Pearl offers a Competitive Compensation and Benefits package to include:* + Rate: $16 - $20 per hour (DOE) + Medical, Dental, Vision, and Life Insurance + Paid time off, Paid holidays + 401K eligibility + Additional ancillary benefits to support your lifestyle professionally, physically, and financially through our professional development and coaching program..*Operating Hours:* 8 am - 5:30 pm, EST, Monday - Friday.*Location(s):* AL, MS, OH, GA, TX, FL.*Job Duties:* + Coordinate with physicians, nursing homes, and outside agencies to obtain pertinent medical information. Accurately documents the patient's stated complaint/admitting diagnosis and any procedures to be performed. Maintains knowledge of third-party payers and/or managed care contractual requirements for pre-registration. This knowledge is demonstrated by the selection of the correct payer within the computer system and following any necessary procedures for medical necessity/MSP, questionnaires, pre-certification, and referrals as required by the payer. + Follow hospital policy regarding procedure for obtaining appropriate pre-certification and/or referrals insurance certification for all applicable insurance carriers. + Consistently informs patients of current or past due financial obligations as required by the area specific benchmarks. A measure of this will vary by work area and would typically be one of the following: number of collections or percentage of collections. + Generate the necessary appointment reminders and appointment instructions in a timely manner. Furthermore, add-on procedures are processed efficiently and accurately. + Demonstrate knowledge of hospital financial and patient care systems and knowledge of medical terminology. Accurately spells medical diagnosis in the reason for visit field. + Must maintain patient and hospital financial information confidentially in accordance with all hospital policy and any state or federal regulations such as the HIPAA Privacy & Security Standards. + For auto and worker's compensation registrations the appropriate information is collected from the responsible party including the auto or worker's compensation carrier, agent and/or employer, date of injury, claim number. If the information is not collected, notes are properly documented as to why the information was not collected or available. + Courteously answers telephone calls. Routes calls or takes accurate messages as appropriate. + Follow hospital policy regarding procedures for eligibility verification of all accounts. Eligibility is properly documented within the patient's record. + Perform position specific job functions at an acceptable level of accuracy for quality assurance score for all areas of Registration. Meets the requirements of area specific benchmarks related to productivity and customer service such as wait times, call monitoring, number of registrations or calls processed, etc. + Proficient in both Scheduling and Pre-Registration. + Perform other related tasks as assigned..*Job Requirements:* + High school diploma or equivalent required and Associates degree preferred. + Insurance eligibility verification + Strong customer service skills including excellent interpersonal and telephone skills. + High degree of tact is necessary due to frequent interaction with patients, physicians, and insurance companies. + Thorough knowledge and understanding of health care delivery systems with special emphasis on the referral management process for managed care providers. + Thorough understanding of Medicare and Medicaid programs with the ability to identify primary payers. + Ability to perform accurate data entry with basic word-processing skills. + Excellent organizational skills required with attention to detail. + Prioritize work and be flexible with work assignments. + Fluency in a second language is helpful. + Embrace our winning Pearl Culture which promotes our employees' desires and efforts to serve our consumers, coworkers, clients, and community by exhibiting our Pearl values of customer satisfaction, teamwork & family atmosphere, quality, respect, transparency, and innovation. _The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. Pearl management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary._.*Background Investigation, Drug Screen and Skills Assessment Required*.*Skills/Qualifications/Keywords:* Action Oriented/Tenacity, Dealing with Ambiguity, Compassion, Customer Focus, Ethics and Values, Functional and Technical Skills, Informing, Integrity and Trust, Listening, Priority Setting, Problem Solving. Consistent with E.O. 14042, absent a legally required accommodation relating to a disability, including medical condition, or a sincerely held religious belief, employees.*_may be (is) required_* to be fully vaccinated for COVID-19 as a condition of employment. This means a COVID-19 vaccination.*_may be (will)_* likely be a qualification standard for the job related to safety for all employees assigned to work on a covered contract..*Pearl Interactive Network, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, veteran status, disability status, genetics, or sexual orientation and gender identity.*

Nashville, TN, United States of America
Pearl Interactive Network
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1/15/2022 8:07:37 AM

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