Responsibilities
- Collects comprehensive and accurate personal and financial details from patients, medical offices, and internal departments.
- Secures necessary legal consents and signed insurance documentation.
- Conducts pre-certification processes and manages credit referrals or deposit collection as needed.
- Enters patient data into computer systems and thoroughly documents any incomplete admissions according to established procedures.
- Obtains and records pre-certification, referral, or authorization numbers in patient files.
- Communicates with patients, families, doctors, or supervisors about insurance limitations and financial obligations, logging all interactions in the system.
- Verifies physician orders for completeness and confirms all required fields are present.
- Completes Medicare compliance documentation and secures an Advance Beneficiary Notice when appropriate.
- Maintains understanding of federal, state, and local regulations related to insurance policies.
- Operates multiple software platforms for data entry and recordkeeping.
- Delivers consistent, positive customer service and escalates unresolved concerns to management.
- Responds to incoming phone calls in a professional manner.
- Follows standardized communication scripts to assist callers effectively.
- Completes all assigned tasks during a shift accurately and on schedule.
- Adheres to all safety protocols, policies, and procedures as defined by the organization.
Benefits
- Comprehensive medical, prescription, dental, and vision insurance coverage
- Paid sick leave for individuals and families, plus company-recognized holidays
- Potential eligibility for a performance-based discretionary bonus
- Paid parental leave benefits
- 401(k) retirement savings plan with employer provisions
- Basic and supplemental life insurance options
- Health Savings Account and flexible spending accounts for health, dental, vision, and dependent care
- Short-term and long-term disability protection
- Reimbursement for tuition and access to personal development resources
- Opportunities for skills enhancement and professional certifications
- Employee referral incentives
- Invitations to corporate events and community engagement activities
- Emergency backup childcare services
Work Arrangement
Full Time, Days
Travel Required
None
Clearance Required
None
Schedule Flexibility
Schedule is subject to change based on hospital census and the needs of the business.
Location Requirement
Selected candidate must reside within 100 miles of Birmingham, AL
Background Check Policy
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
