[Hiring] Preregistration Specialist @Sarah Bush Lincoln

Role Description

Responsible for obtaining insurance pre-authorizations and contacting patients to schedule ordered tests/procedures. Will determine patient out-of-pocket balances and attempt to collect payment. Works as a customer service liaison between the ordering provider office, insurance company, and the patient to ensure a seamless patient experience.

Department: Patient Services

Hours: M-F 40 hours/week, Fully Remote work

Location: Remote work

Responsibilities

• Abides and upholds all requirements stipulated in the remote worker policy and agreement.
• Any other duties and responsibilities as assigned by management.
• Calls patients to communicate pre-authorization status, schedule appointments, communicates prep instructions, and discuss financial liability/payment collection.
• Checks medical necessity for ordered tests and communicates with ordering provider as needed.
• Creates pre-registration encounters to obtain insurance eligibility.
• Determines patient out-of-pocket expense.
• Documents all pre-authorization and financial actions on patient encounters.
• Maintains a familiarity with the various insurance requirements as they pertain to pre-authorizations.
• Reads and understands insurance eligibility transactions and takes appropriate actions resulting from those reports.
• Remains current on new procedures, updated prep instructions and scheduling restrictions.
• Serves as a customer service representative and liaison between the patient, insurance company, and provider office.
• Submits insurance pre-authorizations as needed per insurance company requirements.
• Works closely with the ancillary departments and radiologists to ensure proper scheduling.
• Works closely with the provider office to resolve pre-authorization denials.

Qualifications

• High School Diploma (Required)

Requirements

• High School (Required)

Benefits

• Estimated Compensation Range: $18.68 - $28.95
• Pay based on experience