Patient Service Representative - Outpatient Eligibility/Procedural Authorization

Duke Careers
Durham, NC
Category Finance
Job Description
Duke Health is seeking a Patient Service Representative to provide accurate and complete patient accounts. This role involves pre-admission, admission, pre-registration, and registration functions, ensuring compliance with regulatory agencies, and assisting with insurance benefits and payment. The position requires excellent customer service skills and utilizes department-specific protocols and procedures.

Requirements

  • Analyze insurance coverage and benefits.
  • Obtain all PAC and/or authorizations.
  • Schedule and pre-register patients.
  • Resolve insurance claim rejections and remedies.
  • Manage payment options.
  • Communicate with insurance carriers.
  • Update billing system.
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