Pre Service Specialist

Pre Service Specialist

The Pre Service Specialist completes pre-registration and financial clearance functions prior to the patients arrival for service. This role collects and validates accurate patient demographic and insurance information, obtains pre-certification / authorization as required, and enters all necessary information into the organizations electronic database. Working under direct supervision, this role is also responsible for informing the patient of his / her approximate liability, collecting patient liabilities, identifying patients in need of financial assistance and referring patients to financial counseling as necessary. The schedule for this role is Monday - Friday 9 : 30am - 6 : 00pm. This is a remote position.

Responsibilities :

• 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.

Education :

Required : High School Diploma or equivalent

Experience :

Required : 1 year of experience.

Equal Opportunity Employer At Cone Health, we strive to create a welcoming atmosphere that celebrates a diverse and unique workforce. We believe in offering equal opportunities for employment to all applicants and employees, regardless of their race, religion, age, sex, sexual orientation, gender identity, veterans status, ethnicity, national origin, disability, color, or any other characteristic protected by law. Our hiring and employment choices are based on each individuals qualifications, skills and performance. We believe that by embracing the diversity of our team, we can better serve our patients, communities and each other.