Pre Service Specialist Preadmissions PAS

CoxHealth • Springfield, MO

5d • Onsite

About The Position

The Pre Service Specialist works in a fast-paced call center environment, receiving incoming and making outgoing calls while serving as a liaison between patients, payers, and other healthcare team members. The Pre Service Specialist II manages orders and verifies patient demographics, insurance information, medical necessity, and pre-authorization requirements. The role calculates patient estimates based on scheduled services, contracted plans and reimbursement allowances, benefits, and out-of-pocket thresholds. The specialist may also help reschedule patient appointments. Additional duties may include preliminary Financial Assistance screening to assess eligibility for assistance programs, facilitating applications, and scheduling appointments with the Financial Navigation Team.

The position is based at CoxHealth South in Springfield, Missouri, and is scheduled for 20 hours per week: three 8-hour shifts one week and two 8-hour shifts the following week, from 8:00 a.m. to 4:30 p.m.

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 multitask in a fast-paced environment.
• Ability to adapt and respond effectively to urgent needs and requests.
• Initiative and self-motivation.
• Understanding of and consistent practice of privacy and confidentiality.

Nice To Haves

• One year of experience in pre-registration, scheduling, financial counseling, or equivalent education/experience.
• CHAA or CRCR certification.

Responsibilities

• Receive incoming and make outgoing phone calls in a fast-paced call center environment.
• Serve as a liaison between patients, payers, and other healthcare team members.
• Manage orders.
• Verify patient demographics, insurance information, medical necessity, and pre-authorization requirements.
• Calculate patient estimates based on scheduled services, contracted plans and reimbursement allowances, benefits, and out-of-pocket thresholds.
• Assist with rescheduling patient appointments when required.
• Conduct preliminary Financial Assistance screening to determine eligibility for assistance programs.
• Facilitate Financial Assistance applications and schedule appointments with the Financial Navigation Team.

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• Retirement plan with employer match

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED