Pre-Access Specialist II
Position Summary
The Pre Access Specialist II is responsible for accurate and complete insurance verification, authorization, and complete pre-registration of all scheduled Diagnostic, Surgical, Audiology and/or Rehabilitation visits. The position works within the EMR using an automated insurance verification tool along with payer websites and documents within the EMR.
Responsibilities
- Obtains insurance verification and benefits using an automated verification tool, insurance carrier websites, or by phone.
- Prepares an estimate for scheduled service and notifies the patient/guarantor of any applicable out of pocket and requests payment if applicable.
- Accurately documents all information in the appropriate fields and or/account notes.
- Obtains all necessary authorizations for Diagnostic, Surgical, Audiology and/or Rehabilitation visits and accurately documents all information in the appropriate fields and/or account notes.
- Organizes, prioritizes and reviews daily work activity to ensure completion of assigned workload.
- Courteously answers telephone and/or emails and answers all questions in a timely manner.
- Maintains a positive working relationship with patients/guarantors, insurance companies, clinical personnel, co workers, and management to promote teamwork, cooperation, and a positive public image for Phoenix Children's.
- Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
- Performs miscellaneous job related duties as requested.
Mission, Vision, & Values
Mission: To advance hope, healing and the best healthcare for children and their families
Vision: Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education. We realize this vision by: Offering the most comprehensive care across ages, communities and specialties; Investing in innovative research, including emerging treatments, tools and technologies; Advancing education and training to shape the next generation of clinical leaders; Advocating for the health and well-being of children and families
Values: We place children and families at the center of all we do; We deliver exceptional care, every day and in every way; We collaborate with colleagues, partners and communities to amplify our impact; We set the standards of pediatric healthcare today, and innovate for the future; We are accountable for making the highest quality care accessible and affordable