Patient Access Pre-Services Specialist, Pre-Registration

Company: Community Medical Centers of Fresno, CA
Location: Fresno
Posted on: June 6, 2021

Job Description:

As a Patient Access Pre-Services Specialist you will be integral to the patient flow and satisfaction. You should have advanced clerical knowledge and customer service standards. In your role, you will be responsible for contacting all scheduled patients to obtain current demographic information, verify insurance information, and ensure pre-authorization requirements are met. Assigned advanced duties include, but not limited to; appointment scheduling, insurance verifications, prior authorizations, referrals, multi-line telephone coverage, data entry, filing protected health information (PHI), referrals/physician orders, collections, and financial estimates, while maintaining quality patient/customer relations.

The Patient Access Pre-Services Specialist and Patient Access Follow-Up Specialist are the third of three job levels that provide customer service, registration, and/or admissions to an assigned point of service area. The different levels of this job family are distinguished by the skills and experience required to perform the accountabilities, the complexity of problems solved as part of the job and the assigned level of responsibility.

We know that our ability to provide the highest level of care begins with our incredible staff. Because of this, we provide unique benefits like free concierge services to run your errands while you work and well-being support through on-demand resources, as well as excellent retirement options and core benefits. Financial benefits are important too, and outside base compensation we provide relocation bonuses if you are moving to our wonderful community.

Your Career at Community | Opportunity. Challenge. Growth.

In this role, you will:

• Promptly field and respond to inquiries providing information to patient families, other hospital departments and medical staff according to established policies for Community.
• Provide proficient customer service skills by greeting and treating all patients and staff with respect and discretion.
  Gather and/or verify all appropriate patient demographics, injury information and financial information, including; insurance benefits, co-pays, deductibles and financial programs.
• Perform complex payment arrangements (EFT, payroll deductions), as well as collect upfront payments, toward patient’s financial responsibilities. Handle daily deposits and balance cash drawers.
• Establish payment source through online verification system, insurance website or phone call to insurance company. Determine appropriate insurance plan, financial class and insurance guarantors required for billing.

Experience and Education Minimum Requirements:

• High School Diploma, General Education Development (GED) or Completion of a CMC Approved Individualized Education Plan (IEP) Certificate required
• 4 years of experience as a Patient Access Specialist and/or previous work experience in a related field required

Keywords: Community Medical Centers of Fresno, CA, Fresno , Patient Access Pre-Services Specialist, Pre-Registration, Other , Fresno, California