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Posted: Monday, January 8, 2018 6:41 AM


Expert Global Solutions (EGS), an Alorica company, is a global customer service organization, serving the world's leading companies and best-known brands. With more than 40,000 employees in locations around the world, our people deliver extraordinary service - via phone, email and chat, every day. Embracing a diverse workforce with a shared commitment to deliver outstanding customer service, EGS offers significant opportunity to build a rewarding career, in a dynamic and customer-oriented environment.


Responsible for ensuring the delivery of outstanding customer service in the performance of assigned duties including scheduling patient clinical services and necessary pre-registration requirements which may include obtaining complete and accurate patient demographics, benefits eligibility, pre-certification approvals from insurance companies and physicians offices, identifying insurance and/or patient responsibility, collecting identified co-pay/deductible and/or providing financial counseling when appropriate.

Essential Duties & Responsibilities

* Maintain a professional relationship with the patient while providing excellent customer service and performing assigned duties.

* Document pertinent patient information and all account work activity in the appropriate systems dictated by the health care facility and Company.

* Responsible for capturing and documenting all pertinent patient demographic, subscriber, and insurance information (i.e.): patient Policy and ID numbers, subscriber, guarantor, payer address, phone numbers, and other contact information. Documentation must include, benefit effective date, copay, deductible, out of pocket non-covered services responsibilities, co-insurance, stop loss amounts, percentage of coverage and any other pertinent information concerning the specific procedure/clinical service to be performed.

* Responsible for securing authorizations and documenting all pertinent information (i.e.): Insurance, Ordering information, Physician information, Tax ID, CPT, HCPCS and ICD 10 codes. Documentation must include, authorization status, authorization number, ordering procedures, verified from, dates approved for and any other pertinent information.

* Responsible for meeting all patient registration goals in a timely manner to ensure time sensitive requirements are obtained.

* Working knowledge of Protected Health Information (PHI), HIPPA.

* Personally responsible, respect for self and others, innovative through teamwork, dedication to caring and excellence in customer service.

* Able to successfully schedule procedures through the identification of available times, establish accurate scheduling records and verify patient demographic and insurance information.

* Responsible for accurately obtaining and entering proper procedure or diagnosis codes into scheduling system.

* Obtains and accurately completes ABN or MSP forms, when applicable.

* Obtains complete and accurate insurance information and completes insurance verification by contacting patients, physician offices and insurance/payer regarding the visit.

* Works according to standard operating procedure during ADT/system downtimes.

* Reviews work and ensures accuracy, particularly patient type, code identification, insurance and demographic information to minimize error rate and time delays in clinical and billing departments.

* Assists patients, as needed, to ensure compliance with the payer's requirements for reimbursement.

* Responsible for assessing financial responsibility, resources, and/or referring patients for financial counseling, if necessary, based on the individual's financial condition according to charity policy.

* Responsible for communicating with patients regarding patient financial responsibilities before or at time of service. Informs patients on billing process for facility and providers.

* Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties.

* Perform other duties as assigned by management.



* High School Diploma or General Education Development (GED) certificate or equivalent in relevant work experience desired.

* Associate or Bachelor's Degree in Business, Financial/HealthCare related field preferred.


* 1 year experience in Patient Access, Patient Financial Services, or previous experience in a hospital or physician's office required. 2-3 years related experience preferred.

Knowledge, Skills, Abilities & Other Characteristics:

* Excellent written and oral communication skills required.

* Must be able to multitask, coordinating more than one event at a time.

* Must be able to type 35+ wpm.

* Must be able to demonstrate knowledge of hospital billing requirements and the documentation necessary to satisfy those requirements.

* Experience/knowledge of: medical terminology, data entry, computer skills, admitting, business office, cash collections, physician office interactions and working with public preferred.

* Customer Service/Patient Relations - displaying professionalism.

* Working knowledge of Protected Health Information (PHI), HIPPA.

* Must possess detailed understanding and knowledge of insurance guidelines and protocols, components of full verification, and payer information / requirements.

* Exhibits competency in the use of all registration systems, electronic verification tools, and Web Based resources.

* Maintains basic understanding of the medical necessity screening process and appropriate systems.

* Bilingual preferred.

* Ability to work in a team fostered environment.

* Ability to prioritize and organize work.

* Ability to adapt to a flexible schedule.

Work Environment

* Ability to lift and/or move 20 pounds with or without accommodation.

We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.


Associated topics: account, authorization, bill, biller, cbo, clerk, coder, data entry, front, medical coding


• Location: Mobile

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