PCC Verification Associate I

Overview

Serves as front line support for the Patient Connection Center within Piedmont Healthcare. Reviews orders for outpatient hospital services to ensure completeness prior to scheduling. Prepares for the patient visit by verifying patient insurance, confirming benefits, determining authorization requirements, reviewing medical necessity, and creating patient liability estimates.

Responsibilities

Serves as front line support for the Patient Connection Center within Piedmont Healthcare. Reviews orders for outpatient hospital services to ensure completeness prior to scheduling. Prepares for the patient visit by verifying patient insurance, confirming benefits, determining authorization requirements, reviewing medical necessity, and creating patient liability estimates.

Qualifications

Education

• H.S. Diploma or General Education Degree (GED) Required

Work Experience

• 1 year of experience in Healthcare Revenue Cycle or related experience in clerical accounting/finance Required
• 3 years of healthcare Revenue Cycle experience Preferred
• Prior Epic experience Preferred

Licenses and Certifications

• None Required
• Certification with Healthcare Financial Management Association Preferred
• Certified Revenue Cycle Representative Preferred

Business Unit : Company Name

Piedmont Healthcare Corporate