Clinic Pre-Encounter Rep/Prior Authorization: Therapy Representative

McKenzie Health•Watford City, ND

28d

About The Position

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.

Requirements

Must be a supportive team member, contribute to and be an example of teamwork.
Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public.
Excellent customer service skills.
Able to communicate effectively in English, both verbally and in writing.
Basic computer skills, including ability to navigate electronic medical record systems.
Subject to frequent interruptions.
Knowledge of medical terminology
Meticulous
May work beyond normal working hours and on weekends holidays when necessary.
Must be able to pass a background check and drug screening.
High school diploma or equivalent.
One to three (1-3) years’ experience in healthcare scheduling, authorization, customer service, or financial counseling.
Knowledge of medical terminology
Basic computer knowledge, data entry, and/or word processing.
BLS certification
Physically demanding, high-stress environment
Sitting for extensive periods of time
Ability to lift, move, push, or pull a minimum of fifteen pounds.

Nice To Haves

Other languages are preferred.

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.
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.
cleaning, sanitizing, and prepping treatment rooms prior to patient care.