Pre Service Specialist
- Accesses scheduled patient accounts for the purpose of completing the financial clearance process to reduce financial risk by; validating authorization on file, collecting patient liability, identifying 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.
- Ensures the ordering provider office has initiated 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.
- Performs other duties as assigned.
- Required: High School Diploma or equivalentPreferred: Associates degree in healthcare administration, medical office admin or related field.
- Required: 2 or more years’ experience in patient access, or a similar healthcare administrative role.
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