Patient Pre-Services Representative

UK St. ClaireRemote-KY, KY
Onsite

About The Position

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation rates to ensure that continual growth is possible. UKSC is a nurturing workplace for all healthcare professionals. We invite you to explore our current job openings and see if our opportunities could be the right fit for you. Job Summary Responsible for financial clearance of pre-service registration, including demographics, coverages, eligibility, guarantor type, COB, and benefits verification to ensure timely payment and increase efficiency during check-in of scheduled encounters ensuring a smooth patient access experience. Resolves complex registration scenarios that kick-out from registration and RTE programming. Coordinates with patients, payers, authorization coordinators and registration representatives. Contributes to process improvements, supports frontline staff through feedback and error correction, and helps maintain compliance with organizational policies, payer requirements, and regulatory standards.

Requirements

  • High school diploma or equivalent
  • 2–3 years of experience in patient access, registration, insurance verification, billing, revenue cycle operations or payer related field
  • An equivalent combination of education and experience may be considered.
  • All experience must be paid and in the same related field.
  • Part-time and PRN experience will be prorated based on hours worked per week.
  • Volunteer work and internships for academic credit are not counted.

Responsibilities

  • Maintains a worklist of pre-service complex registration and RTE kickouts.
  • Verifies insurance benefits and shares information with authorization team for resolution through authorization workflows and partnerships with clinical teams.
  • Reviews and validates the accuracy of registration data, ensuring corrections are made to enable financial clearance and check-in efficiency.
  • Contacts patients, payers, financial counselors and authorization coordinators to collect or clarify information such as insurance coverage or financial responsibility.
  • Documents communications, tracks responses, and updates patient account records with accuracy and attention to detail.
  • Meets departmental KPIs related to pre-service clearance, pre-registration accuracy, and patient satisfaction.
  • Collaborates with clinical, scheduling, billing, and revenue cycle teams to ensure seamless information flow and patient access efficiency.
  • Participates in departmental meetings and improvement initiatives aimed at enhancing pre-registration and financial clearance processes.
  • Perform other duties as assigned.
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