The Pre Service Specialist completes preregistration and financial clearance functions prior to the patients arrival for service. This role collects and validates accurate patient demographic and insurance information obtains precertification/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 position is Monday Friday 9:30am 6:00pm.
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 precertification/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.
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