Pre Service Specialist Preadmissions PAS
About The Position
The Pre Service Specialist works in a fast-paced call center environment, receiving incoming and making outgoing calls 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 and conduct preliminary Financial Assistance screenings to determine eligibility, 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 multitask in a fast-paced environment.
- Ability to adapt and respond effectively to urgent needs and requests.
- Demonstrates initiative and self-motivation.
- Demonstrates understanding and consistent practice of privacy and confidentiality.
Nice To Haves
- One year of pre-registration, scheduling, financial counseling, or equivalent education/experience.
- CHAA or CRCR certification.
Responsibilities
- Receive incoming calls and make outgoing calls.
- Serve as a liaison between patients, payers, and other healthcare team members.
- Manage orders.
- Verify patient demographics and insurance information.
- Verify medical necessity and pre-authorization requirements.
- Calculate patient estimates using scheduled services, contracted plans and reimbursement allowances, benefits, and out-of-pocket thresholds.
- Assist with rescheduling patient appointments when required.
- Conduct preliminary Financial Assistance screenings, facilitate applications, and schedule appointments with the Financial Navigation Team.
Benefits
- Medical insurance.
- Vision insurance.
- Dental insurance.
- Retirement plan with employer match.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
