Pre Arrival Associate

Metro Health | Wyoming, MI

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Posted Date 9/09/2019

Pre Arrival Associate - Verifications - Pre-Arrival Services * Days - 40hrs/wk

Requisition #: req1723

Shift: Days (8:30a-5:00p)

FTE status: 1

On-call: No

Weekends: No

General Summary:

Under the direct supervision of the Patient Access Manager, the verification/authorization associate is responsible for the verification of benefits and authorization of all outpatient procedures.


1. High School diploma, GED, or equivalent required.
2. College Education: 1-2 years preferred.
3. Certified Healthcare Associate Certification (CHAA) preferred.
4. Medical Terminology preferred.
5. Medical experience or knowledge required preferably 1-2 years.
6. Knowledge of medical coding/billing recommended. (ICD-10 and CPT)
7. Coding certification preferred.
8. Epic certification preferred.

Essential Functions and Responsibilities:

  1. Responsible to obtain complete and accurate patient demographic, financial and insurance information.
  2. Contacts physician offices and/or insurance companies to ensure the pre-certification and authorization requirements are obtained.
  3. Refers to ICD-10, HCPC and CPT department coding resources to validate codes are payable based on insurance guidelines.
  4. Collect patient co-pays, deductibles, and any outstanding balance accounts.
  5. Responsible for daily payment reconciliation.
  6. Responsible to complete a financial screen for self-pay accounts.
  7. Completes Epic work queues daily.
  8. Completes accounts in AHIQA daily.
  9. Ability to flex schedule to meet the demands of the department.
  10. Maintain or exceed current department goals.
  11. Other duties as assigned.

Category: Admin & Clerical, Health Care, Customer Service

Job Type
Full time

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