Preregistration Specialist

About Jordan Valley Health:

Jordan Valley Health (JVH) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community’s health through access and relationships. By working collaboratively with partners and continually innovating, JVH strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.

Job Summary:

The Preregistration Specialist is responsible for providing accurate and timely preregistration of patients ensuring the smooth flow of revenue within healthcare organizations. By collecting and verifying insurance information upfront, the preregistration team helps minimize claim denials and delays in reimbursement.

Key Responsibilities:

• Verifying patient identity and ensuring all necessary forms are completed accurately.
• Entering patient information into the hospital or clinic's electronic health record (EHR) system.
• Contacting insurance companies to verify patient insurance coverage, including eligibility, benefits, and coverage limitations including frequency.
• Confirming the patient's insurance plan details, such as policy number, group number, and effective dates.
• Determining any required pre-authorizations or referrals necessary for services.
• Communicating with patients regarding their insurance coverage and any potential out-of-pocket costs, such as copayments or deductibles.
• Collaborating with other departments, such as billing and clinical staff, to ensure accurate and timely processing of patient information.
• Communicating effectively with patients to address questions or concerns regarding their insurance coverage or registration process.
• Providing support and assistance to patients who may need help navigating insurance-related issues or financial assistance programs.
• Monitors self-pay accounts, assesses need for internal collection action and connects them with payment plan administrators.
• Research old balances and work with patient account representatives to assist patients in accurate and satisfactory recovery of insurance benefits.
• Ensures the treatment plan and appointment details align with coverage and the patient’s chart is clean and accurate.

• Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
• Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
• Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
• Dental and Vision Coverage: Dental insurance through Cigna’s DPPO network and vision coverage through EyeMed’s Insight network.
• Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
• Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
• Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
• Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
• Pay on Demand Available.

• Nine paid holidays per year.

Required Qualifications:

• 1 year in medical registration, medical billing, or insurance verification.

Preferred Qualifications:

• High school diploma or GED.
• Some math, accounting, ICD-10, and an understanding of patient care skills preferred.