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Admissions Representative
Guidehouse. Perform insurance notification, verification, and authorization activities to financially secure accounts .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance notification, verification, and authorization processes, ensuring financial security for patient accounts. Proficient in communication with patients, insurance companies, and clinical staff to facilitate account management and documentation.
Highest-signal resume keywords
Patient Access ExperienceInsurance VerificationAuthorization ProcessesEOB ReadingCPAR Or CHAA Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance NotificationVerificationAuthorizationBillingCash CollectionsMedical TerminologyTyping Speed 35 WPM
Soft Skills
Interpersonal SkillsCommunicationCustomer Service
Certifications & Qualifications
CPARCHAA
Industry Keywords
Patient AccessHealth InsurancePre-CertificationEOB
About the role
Key responsibilities & impact- Perform insurance notification, verification, and authorization activities to financially secure accounts
- Complete notification, verification, and authorization for inpatient, Ambulatory Surgery, and bedded outpatient admissions using the HQ work list
- Coordinate with referring physician/hospital clinical staff and insurance companies to secure scheduled accounts before admission and non-scheduled accounts within 24 hours after admission
- Explore options to secure accounts when issues arise, including contacting physician offices and patients and referencing past visits
- Thoroughly document accounts in the system according to established standards
- Communicate with insurance companies, patients, physician offices, and hospital departments to complete account documentation
- Explain financial requirements to patients or responsible parties and collect deposits and deductibles
- Inform Patient Access management, registration staff, and physicians when accounts are not secure
- Provide caring, courteous, and timely assistance to patients, guests, visitors, students, and staff
- Respond to inquiries using positive interpersonal skills
Requirements
What you’ll need- High School Diploma or GED or 3+ years of relevant experience in lieu of the education
- 1-3 years of experience in patient access, billing, cash collections, health insurance and/or pre-certification
- Working knowledge on how to obtain authorizations
- Working experience reading EOBs
- Ability to type a minimum of 35 WPM (nice to have)
- Familiarity with medical terminology (nice to have)
- CPAR or CHAA certification (nice to have)
- Must work Monday-Friday, 8:30am-5:00pm; schedule subject to change based on hospital census and business needs
Benefits
Comp & perks- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
- Flexible benefits package
- 100% remote work