Job Description

Essential Responsibilities:

This description of job responsibilities is intended to reflect the major responsibilities and duties of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.

• Completes authorizations and medical necessity verifications for scheduled and unscheduled services.
• Conducts a daily reconciliation comparison of authorized procedures versus charges and requests additional authorizations if necessary.
• Contact referring physicians for additional information as needed.
• Communicate with patient or representative about authorization status, covered benefits, and financial liability as needed.
• Proactively monitor appointment lists and work queues to ensure that patients receive timely services and that those services are approved.
• Maintain thorough and accurate records within the electronic health record.

Education

• High school graduate or equivalent

Experience

• Two years clerical in a business office or similar environment preferred

Licensure

• Certified Patient Accounts Representative (CPAR) certification preferred

Knowledge/Skills/Abilities

• Ability to operate office equipment including computer applications

Why choose Southeast Georgia Health System?

• Join a team driven by purpose. Our mission is to advance the health and well-being of our community, and every role at Southeast Georgia Health System directly contributes to that impact.
• We strive to be the trusted partner for health care in our community, and we're looking for people who are passionate about making a meaningful difference. What guides us every day are our core values of compassion, excellence, ownership, integrity & teamwork.
• We offer competitive salaries and a comprehensive benefits package which includes generous PTO, tuition reimbursement, retirement plans, wellness programs, and more.