Access Specialist II - Precertification Specialist

Southeast Health•Dothan, AL

About The Position

The Access Specialist II interviews patients and obtains the information needed to register or admit them, including billing and caregiver contact information. The role obtains treatment and billing signatures, verifies third-party coverage, collects self-pay balances, and obtains or initiates required pre-certifications and authorizations. It also schedules patients for clinical services, provides service estimates, transcribes basic orders, and assists with financial-assistance and self-pay workflows. The specialist serves as a first point of contact for clients by phone or in person, responds to inquiries, troubleshoots problems, and makes referrals to appropriate resources. Additional duties include assisting with charge posting and verification, maintaining medical records, and discharging patients after treatment. The role requires professional, respectful customer service, calm interactions, adaptability, and effective multitasking in a changing healthcare environment. Duties are performed in accordance with department and hospital policies; other duties may be assigned.

Requirements

High school diploma.
Working knowledge of computers and basic computer skills.
Basic keyboarding or typing skills.
Calculator skills.
Medical terminology; this may be completed through SEH training and development electronic education during the orientation period.
Excellent written, verbal, and interpersonal skills.
Ability to interact with customers in hospital and clinic environments.
Ability to remain calm while interacting with clients by phone or in person.
Ability to adapt to a fast-paced, changing environment and manage multiple tasks.
Flexibility to meet business needs and a “can do” approach.

Nice To Haves

One year of hospital or clinic revenue cycle experience is preferred.

Responsibilities

Interview patients and obtain information required for registration or admission.
Obtain signatures required for treatment and reimbursement.
Obtain billing and demographic information and update patient records, including caregiver contact details.
Verify third-party payer coverage and collect self-pay balances.
Schedule patients for planned clinical services and provide scheduling or patient enrollment support.
Obtain or initiate authorizations and pre-certifications for clinical services when required.
Provide estimates for clinical services, including surgical procedures and inpatient admissions.
Transcribe basic orders in the software system for patient account processing.
Coordinate assistance and initiate self-pay workflows.
Assist patients with Southeast Health financial assistance programs.
Respond to inquiries, troubleshoot problems, provide information, and refer customers to appropriate resources.
Serve as a point of contact for clients by phone or in person and provide professional, respectful customer service.
Assist with posting and verifying charges and maintaining medical records.
Discharge patients upon completion of treatment.
Perform duties in compliance with department and hospital policies and perform other duties as assigned.