**POSITION SUMMARY:** Facilitates the conversion of referrals to admissions through the completion of the intake process and the use of effective phone and customer service skills. **ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:** • Complete financial clearance for all referrals by determining eligibility. • Process referrals to assure pre-qualifying of patients efficiently. • Verifies all primary and secondary insurance information for all incoming patients to include service coverage, benefit maximums and limitations, co-insurance/co-payment, pre-existing clause, coverage • Determine effective and termination dates, type of plan, and provider network status. • Complete all information with attention to timely filing dates and special filing requirements. • Analyze admission data and prepare assigned reports • Loads all patient demographic insurance and benefit information into appropriate software system • Communicates effectively with the referral sources and team members to support the business partnerships being developed by the sales team • Establish positive relationships with insurers and managed care entities; Third party payors and Case Managers. • Obtain complete and accurate information to facilitate the admissions process and to maximize the likelihood of reimbursement. • Utilizes reports to assure accurate and timely information is documented in the appropriate software system. • Excellent Communication, Customer Service & Time Management Skills **TRAINING, SKILLS, AND EXPERIENCE AND EDUCATION REQUIREMENTS:** • Associates Degree preferred • 2+ years’ experience in • Proficient in Microsoft Office, Word & Excel • Understanding of patient compliance issues, Medicare, Medicaid and Commercial Insurance • Excellent communication skills and customer service • Familiarity with Medical Terminology • Experience working in a call center environment • Ability to multi-task, problem solve and demonstrate critical thinking skills. **Family Makes Us Stronger.** Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to connect with you! **_Apply Now_** to get started at PruittHealth! _As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status._