Job Information
Billings Clinic Pre-Access Pre-Certification Lead (Full-time) in Billings, Montana
You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!You can make a difference here. About UsBillings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.Your BenefitsWe provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide. Magnet: Commitment to Nursing ExcellenceBillings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!Pre-Employment RequirementsAll new employees must complete several pre-employment requirements prior to starting. Click here to learn more! Pre-Access Pre-Certification Lead (Full-time) PRE-ACCESS (ROCKY MOUNTAIN PROFESSIONAL BUILDING) req8741Shift: Day, EveningEmployment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours (Non-Exempt) Starting Wage DOE: $19.68 - 24.60Pre-Access Specialist Lead is responsible for one of the first impressions a patient will have of Billings Clinic. Incumbent will provide education both verbally and via mail in an effort to manage the patient and/or family member's expectations as a patient of our facility. New and some established patients for both clinic and hospital services will be contacted to obtain all patient and guarantor information, insurance information including any information related to accident insurance, etc. as well as additional contact information. All regulatory requirements as to determination of primary and secondary carrier status will be collected. Staff will inform patient/family member of insurance billing processes as well as payment expectations. Payment policies will be reviewed as well as any need for co-payment and/or coinsurance/deposit requirements. An explanation of what the patient can expect at check-in will be provided as well as information regarding parking, valet services, etc. Patients will be provided with a customized new patient welcome packet including their scheduling itinerary and way finding materials. Through the conversations during registration and demographic information collection, staff will provide patients with information regarding the need to contact Financial Representatives in reference to financial assistance and/or payment arrangements. Addresses will be verified electronically by staff members.Essential Job Functions* Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance* Provides first impression of Billings Clinic to patients and family members. Focus on patient service is first and foremost.* Validates insurance entries using Intellisource software, commercial web site, or calling insurance company and analyzes electronic/verbal responses ensuring appropriate set-ups dependent upon State where services are being rendered. * Coordinates with patients, internal and external providers, nursing staff to ensure Medicaid Passport and other authorizations for referrals required by insurance carriers are obtained and entered onto specifically approved encounters withiTo view the full job description, click here>