Quorum Health

Denial Prevention Analyst I

Quorum Health

full-time

Posted on:

Location Type: Remote

Location: Illinois • Tennessee • United States

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Job Level

Junior

About the role

  • Responsible for interviewing patients via phone through inbound/outbound efforts while completing the pre-registration process.
  • Responsible to comply with regulatory requirements during the pre-registration process.
  • Including but not limited to completing the Medicare Secondary Payer Questionnaire.
  • Responsible to educate patients on their estimated out of pocket financial responsibility.
  • Collects liabilities while within the guidelines set forth by the organization.
  • Responsible to escalate high dollar out of pocket accounts at risk for non-patient payment prior to services being rendered.
  • Resolves patient demographic and insurance discrepancies as identified through various system tools.
  • Responsible for thoroughly and accurately documenting the outcome of the patient interview while delivering excellent customer service.
  • Responsible to observe privacy, safety, and security procedures, using equipment and materials properly.
  • Possesses the ability to work within a remote call center environment free from distractions and background noise.
  • Recognizes and consistently exhibits exceptional customer service as a critical factor in all duties performed.

Requirements

  • Proficient in typing.
  • General knowledge of medical terminology.
  • Ability to communicate effectively and professionally in English, both verbally and in writing.
  • Bilingual a plus.
  • Critical thinking and problem-solving skills.
  • High school graduate or equivalent.
  • One year of previous scheduling experience in the medical field is preferred.
Benefits
  • Competitive salary and benefits package.
  • Opportunities for professional development and advancement.
  • Supportive work environment with a collaborative team.
  • Comprehensive healthcare coverage.
  • Retirement savings plan.
  • Paid time off and flexible scheduling options.
  • Student loan repayment program.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
typingmedical terminologyscheduling
Soft Skills
communicationcustomer servicecritical thinkingproblem-solving
Certifications
high school diploma