Noa Agent

Job Summary:
The NOA Agent is responsible for timely andaccurate processes associated with some or all of the following:

- Pre-registration
- Insurance verification
- Pre-Certification
- Insurance Notification

**Responsibilities**:
Responsabilities (included but not limited to):Responsabilities will be performed by each individual depending on assignment of responsibilities:

- Perform pre-registration and insurance verification within 3-5 days prior to date of service forboth inpatient and outpatient services. For notification received with less than 3 days’advanced notice perform within 24 hours of notification.
- Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information in the approved standardformat
- Assign Insurance Plans (IPlan’s) accurately
- Perform electronic insurance eligibility confirmation when applicable and document results
- Complete Medicare Secondary Payor Questionnaire as applicable for retention in imagingsystem (i.e. OnBase)
- Calculate patient cost share and be prepared to collect via phone or make paymentarrangement
- Contact patient via phone (with as much advance notice as possible, preferably 48 hours priorto date ofservice) to confirm or obtain missing demographic information, quote/collect patientcost share, and instructpatient on where to present at time of appointment
- Receive and record payments from patient for services scheduled.
- Utilize appropriate communication system to facilitate communication with hospitalgatekeeper
- Ensure appropriate documentation is entered in standard format on the patient record. Thisshould be performed in the applicable Health Information System (i.e. Meditech) and ifnecessary any other subsidiary systems if they are not automatically updated.
- Contact physician to resolve issues regarding prior authorization or referral forms
- Research Patient Visit History to ensure compliance with payor specific payment windowrules
- erform insurance verification and pre-certification follow up for prior day’s walk inadmissions/registrations and account status changes by assigned facility as per SSC guidelines.
- Communicates with hospital based Case Manager as necessary to ensure prompt resolution ofpre-existing, non-covered, and re-certification issues
- Meets/exceeds performance expectations and completes work within the required timeframes
- Implements and follows system downtime procedures when necessary
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
- Other duties as assigned

Skills and Experience:
**Requirements**:

- High school diploma or GED preferred.
- One year of related Customer Experience required.
- English Level of B2+
- Able Work on the phone with different stakeholders
- Knowledge of medical insurance process is a plus

**Skills**:

- ** Communication** - communicates clearly and concisely, verbally and in writing. This includesutilizing proper punctuation, correct spelling and the ability to transcribe accurately.
- ** Customer orientation** - establishes and maintains long-term customer relationships,building trust and respect by consistently meeting and exceeding expectations
- ** Policies & Procedures** - demonstrates knowledge and understanding of organizationalpolicies, procedures and systems
- ** Basic skills** - demonstrates ability to organize, perform and track multiple tasks accurately inshort timeframes, have ability to work quickly and accurately in a fast-paced environmentwhile managing multiple demands, ability to work both independently and collaborativelyas a team player, adaptability, analytical and problem solving ability and attention to detailand able to perform basic mathematical calculations, balance and reconcile figures,punctuate properly, spell correctly and transcribe accurately.

LI-CA1