Pre Service Specialist

CoxHealth • Springfield, MO

4d • 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
• Verifying insurance information
• Verifying medical necessity
• Verifying pre-authorization requirements
• Calculating patient estimates based on service scheduled, contracted plan, reimbursement allowances, benefits, and out-of-pocket thresholds
• Assisting in rescheduling patient appointments
• Performing preliminary Financial Assistance screening to determine eligibility for assistance programs
• Facilitating applications for assistance programs
• Scheduling appointments with the Financial Navigation Team

Benefits

• Medical
• Vision
• Dental
• Retirement with Employer Match

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED