Culpeper Regional Hospital – Culpeper, VA

  • Coordinates scheduling, registrations, pre-registrations, insurance verification eligibility, and authorizations for hospital services. The following is a summary of the major essential functions of the job. The incumbent may perform other duties, both major and minor, that are not mentioned below; and specific functions may change from time to time:
  • Schedules and registrars patients for the outpatient clinic.
  • Verifies eligibility for patients and ensures all pre-authorizations, referrals, and pre-certifications are obtained as necessary by working closely with the physician offices, Utilization Review and Business Office Departments.
  • Provides comprehensive financial counseling services and guidance related to complicated medical diagnoses, procedures and pharmaceuticals to patients.
  • Coordinating financial issues with clinical process by interacting with staff such as Social Work, Nursing, Physicians, Pharmacy and Management.
  • Coordinates appeals denied for no pre-authorization, assisting the patient, physician office and the insurance company.
  • Perform other job-related duties as directed by the Supervisor.
  • REQUIREMENTS Education:
  • High School Diploma or GED.
  • Associate’s Degree or equivalent combination of education and experience preferred.
  • Experience:
  • Minimum two years related experience (admitting, business office, scheduling).
  • Knowledge, skills and abilities required:
  • Knowledge of basic medical terminology.
  • Ability to communicate both verbally and in writing.
  • Ability to type 30 words per minute.
  • Background of insurance knowledge is required for certain tasks assigned.
  • Background/knowledge of government/state and patient assistance programs is preferred.
  • Working knowledge of ICD-10 and CPT coding is preferred.
  • Ability to comprehend insurance cards
  • Ability to deal directly with the public.
  • Strong computer skills. Proficiency in Windows and Microsoft Office preferred.
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