Pre Service Specialist
Administrative Support
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The Pre Service Specialist completes pre-registration and financial clearance functions prior to the patient’s arrival for service. This role collects and validates accurate patient demographic and insurance information, obtains pre-certification/authorization as required, and enters all necessary information into the organization's electronic database. Working under direct supervision, this role is also responsible for informing the patient of his/her approximate liability, collecting patient liabilities, identifying patients in need of financial assistance and referring patients to financial counseling as necessary.
Essential Job Function
- Accesses scheduled patient accounts for the purpose of completing the financial clearance process to reduce financial risk by validating authorization on file, collecting patient liability, identifying needs for financial assistance.
- Contacts the patient to obtain/validate demographics and insurance information.
- Collects and accurately documents initial pre-certification/authorization information if available.
- Ensures the ordering provider office has initiated the process for obtaining a required referral/authorization if not found on file with insurance.
- Completes insurance verification and eligibility checks and documents patient liability.
- Communicates issues or potential issues involving customer service and process improvement opportunities to management.
- Performs other duties as assigned.
Education
- Required: High School Diploma or equivalent.
- Preferred: Associate's degree in healthcare administration, medical office admin or related field.
Experience
- Required: 2 or more years’ experience in patient access, or a similar healthcare administrative role.
Licensure/Certification/Listing
Work Shift :
Days/No Weekends (United States of America)On Call Required
NoFTE:
1Job Type:
Full Time (40 Hours/Week)