Pre Service Specialist

CoxHealth•Springfield, MO

1d•Onsite

About The Position

A Pre Service Specialist works in a fast paced call center environment. They receive incoming and make outgoing phone calls while serving as a liaison between patients, payers, and other health care team members. The Pre Service Specialist II is responsible for order management as well as verifying patient demographics, insurance information, medical necessity and pre-authorization requirements. Calculates patient estimates based on the service scheduled, contracted plan and reimbursement allowances, benefits and out of pocket thresholds. The Pre-service specialist II may also assist in rescheduling patient appointments when required. May perform a preliminary Financial Assistance screening to determine eligibility for assistance programs, facilitate applications and schedule appointments with the Financial Navigation Team.

Requirements

High School Diploma or equivalent
Excellent customer service and interpersonal skills
Knowledge of medical terminology or CPT or procedure codes
Strong computer and relevant application use skills
Ability to multi-task in a fast paced environment
Ability to effectively adapt and respond to urgent needs and requests
Demonstrates initiative and self-motivation
Demonstrates understanding and consistent practice of need for privacy and confidentiality

Nice To Haves

1 year pre-registration, scheduling, financial counseling or equivalent education/experience
CHAA or CRCR

Responsibilities

order management
verifying patient demographics, insurance information, medical necessity and pre-authorization requirements
calculates patient estimates based on the service scheduled, contracted plan and reimbursement allowances, benefits and out of pocket thresholds
assist in rescheduling patient appointments when required
perform a preliminary Financial Assistance screening to determine eligibility for assistance programs, facilitate applications and schedule appointments with the Financial Navigation Team