Pre-Service Registered Nurse

3 weeks ago


Mobile, Alabama, United States USA Health Full time
Job Summary

USA Health is seeking a highly skilled Pre-Service Registered Nurse to join our team at Providence Hospital. As a key member of our pre-service operations team, you will be responsible for ensuring seamless patient care by verifying insurance, authorizing procedures, and pre-registering patients.

Responsibilities
  • Verify insurance coverage and authorization for scheduled procedures
  • Pre-register patients and ensure accurate information is collected and entered into the HSIS system
  • Collaborate with the patient care team to resolve insurance certification and referral issues
  • Facilitate the resolution of denials and appeals related to medical necessity
  • Document certification process and authorization number information correctly and timely in the computer system
  • Assist with the training of new employees and ongoing education and training of employees to ensure compliance
  • Communicate effectively with administrative and departmental staff, technical staff, physicians, nurses, patients, families, and vendors
Qualifications

Graduation from an accredited school of nursing meeting the minimum standards set by the state of Alabama, one year of professional nursing experience, and licensure with the state of Alabama as a registered nurse.

USA Health is an Equal Employment Opportunity/Affirmative Action Employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status, or any other applicable legally-protected basis.


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