Preservice Specialist I

Description

Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, over 1,000 outpatient facilities, 22,000 nurses, and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut, and beyond, thanks to philanthropic support from their communities. Northwell is New York State's largest private employer with over 104,000 employees, including members of Northwell Health Physician Partners, who are working to improve healthcare.

Responsibilities

• Schedules patients for hospital or medical group services by incoming phone calls, online requests, or outbound to patients.
• Works within the central referral management system to identify and schedule specialist and primary care referrals to NHMP practices as well as external providers when appropriate, with the goal of promoting in-system retention of patients and continuity of care.
• Provides excellent customer service both to physician offices and patients. Contributes to reduction of abandoned call rate, length of calls, and average speed answered through use of best practices and workflow improvements as defined by management.
• Verifies incoming faxed physician orders for compliance and accuracy. Performs insurance eligibility verification and executes payer requirements as needed. Obtains accurate insurance benefit information from payers, such as deductible, copay, and coinsurance amounts. Utilizes patient estimation tool to calculate estimate of patient liabilities.
• Initiates requests for authorizations, pre-certifications, notices of admission, and referrals from insurance companies. Follows up with payers and providers to ensure that authorizations are in place. Takes appropriate steps to remediate situations in which financial clearance is not completed to ensure that Nuvance Health receives prompt payment for services rendered.
• Contacts patients to perform pre-registration, including demographic verification, conveyance of insurance benefits, and estimates of liabilities. Collects on such liabilities prior to time of service utilizing provided scripting. Refers patients who express financial hardship to Financial Counseling for a financial assessment.
• Safeguards patient confidentiality by adhering to all department, organization, state, and federal compliance guidelines. Fulfills all compliance responsibilities related to the position.
• Performs other duties as assigned.

Qualifications

• HS Diploma Required
• Minimum of 2-year job-related experience
• Preferred: Associates Degree with 6 months job-related experience

Skills

• Basic MS Word & MS Excel
• Customer service and organizational skills

Benefits

• Salary Range: $19.00 - $26.00 per hour