Pre Service Specialist

Essential Job Functions

• Accesses scheduled patient accounts for the purpose of completing the financial clearance process.
• Validates authorization on file, collects patient liability, identifies needs for financial assistance.
• Contacts the patient to obtain/validate demographics and insurance information.
• Collects and accurately documents initial pre-certification/authorization information if available.
• Sends the ordering provider office to initiate the process for obtaining a required referral/authorization if not found on file with insurance.
• Completes insurance verification and eligibility checks and documents patient liability.
• Communicates issues or potential issues involving customer service and process improvement opportunities to management.

Qualifications

• Education: High School Diploma or equivalent.
• Preferred: Associate's degree in healthcare administration, medical office admin or related field.
• Experience: 2 or more years’ experience in patient access, or a similar healthcare administrative role.