Pre-Reg Pre-Cert Specialist
About The Position
The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients. This position obtains identification to assure accuracy of demographic and insurance information and enters all information into the registration system. The Pre-Reg/Pre-Cert Specialist is responsible for pre-service collections and documentation when applicable. This role is responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits. For all sponsored admissions, will contact patients’ employer and/or insurance company to verify coverage and benefits, obtain benefit level, patient liability, billing address.
Requirements
- High School Diploma or GED
Nice To Haves
- Medical/Healthcare experience
- Prior experience in pre-registration or prior authorization
- Epic System (EMR) experience
Responsibilities
- Identifying patients who qualify for pre-registration (new and return patients).
- Obtaining identification to assure accuracy of demographic and insurance information.
- Entering all information into the registration system.
- Responsible for pre-service collections and documentation when applicable.
- Responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits.
- Contacting patients’ employer and/or insurance company to verify coverage and benefits, obtain benefit level, patient liability, and billing address for sponsored admissions.
Benefits
- Equal employment opportunity employer
- Reasonable accommodations for qualified individuals with disabilities
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
