Clinic Pre-Encounter Rep/Prior Authorization: Therapy Representative
Clinic Pre-Encounter Representative/Prior Authorization: Therapy Representative
POSITION DESCRIPTION:
The Clinic Pre-encounter Representative & Patient Access Specialist handles managing the complete patient access process, including scheduling, pre-registration, registration, insurance verification, and prior authorization. This position ensures smooth patient experience, compliance with payer guidelines, and accurate documentation to support prompt care and revenue cycle operations.
Supervisory Responsibilities:
- None
Duties/Responsibilities:
- Scheduling: outpatient/inpatient/Pediatric, potentially of multiple locations
- Guest Services
- Pre-registration
- Registration
- Insurance verification
- Pre-encounter collections
- Prior authorization
- As a condition of employment, completes all assigned training and skills competency.
- Compliance and Documentation: Maintain HIPPA Compliance and adhere to payer guidelines. Document all registration, authorization, and financial activities accurately in the system.
- Perform other duties as assigned to support patient access and revenue cycle operations.
- Rehab Aide Duties: cleaning, sanitizing, and prepping treatment rooms prior to patient care.
Nothing in this job description restricts MH ability to assign, reassign or eliminate duties and responsibilities of this job at any time. MH does not restrict the tasks that may be assigned. Critical features of this job have been described; those features may be changed at any time due to reasonable accommodation or other reasons deemed appropriate by MH.