Job Title: Patient Accounts Services & Credentialing Representative  (Full-Time)
Department: Clinical
Job Supervisory Responsibilities: None
Job Requirement: Prior experience with medical insurance authorization and patient collections.
Location: JRO, Suite 500

Main Responsibilities:

Patient Accounts Function:

  • Checks benefits for all out-patient procedures.
  • Explains out of pocket expenses with patients and collects physician fees for hospitals and Endoscopy centers.
  • Discuss and offer patients CareCredit applications.
  • Assists with prior authorizations as needed.
  • Answers patient questions and concerns regarding insurance/anesthesia/coverage.

Credentialing Function:

  • Preparing and maintaining reports of credentialing activities such as accreditation, membership or facility privileges. 
  • Request admitting privileges for providers at all facility locations.
  • Ensure new providers are credentialed properly to meet state and federal guidelines. 
  • Provide information needed for credentialing with the billing department for new insurances.

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