Access Specialist II - Precertification Specialist

Southeast Health; Northern (KY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Southeast Health in Kentucky is seeking an Access Specialist II - Precertification Specialist to interview and gather information to register or admit patients, obtain pre-authorizations, and help with billing processes. The role requires strong communication, accuracy, and a patient-centered approach in a fast-paced hospital setting.

You will verify demographics, determine payer coverage, schedule services, and support self-pay workflows, ensuring compliance with hospital policies and

Qualifications

• High School diploma required.
• Prefer one year of hospital/clinic revenue cycle experience.
• Working knowledge of computers and medical terminology.
• Medical terminology may be learned via SEH training during orientation.

Responsibilities

• Interviews and collects information to register or admit patients.
• Obtains signatures for treatment and reimbursement; ensures pre-authorizations.
• Verifies third-party payer coverage and collects self-pay balances.
• Schedules services and enters patient demographics and billing data.
• Provides customer-focused service in person or by phone.

Skills

Communication skills

Typing

Computers

Medical terminology

Education

High School diploma

Tools

Patient accounting software

Job description

## Access Specialist II - Precertification SpecialistApply: 208 Haven Drive: Full time: Posted Today: JR15699# **Southeast. Always the right career direction.**## **Job Description Summary**Interviews and obtains all necessary information to register or admit patients. Obtains signatures for permission for treatment and reimbursement for services. Obtains billing information, ensures pre-authorizations are obtained for treatment and all other reimbursement requirements are met. Discharges patients upon completion of treatment. Assists with posting and verifying of charges as well as maintaining medical records. Performs all tasks and duties in compliance with department and hospital policies. Demonstrates efficient and professional behavior at all times.## **Job Description****QUALIFICATIONS:*** High School diploma;* Prefer one year of hospital or clinic revenue cycle experience;* Working knowledge of computers;* Medical terminology required;* Medical terminology may also be completed through SEH training and development electronic education program within orientation period.### **LANGUAGE/ COMMUNICATION SKILLS:*** Excellent written, verbal and interpersonal skills;* Ability to interact with customers in both hospital and clinic environments.**SKILLS****:*** Basic keyboard/typing skills;* Basic computer skills;* Calculator skills.**POSITION DUTIES:*** Works as part of a multi-disciplinary team to provide answers to inquiries and questions;* Troubleshoot problems and provide information;* Handle intervention or referrals with a professional and respectful customer service focus telephonically and/or in person;* Provides a variety of support services in connection to the day-to-day operations in a health care environment;* First and ongoing point of contact for all clients either by phone or in person;* Provides scheduling or patient enrollment for services;* Enters/updates all demographic information, financial/billing information, caregiver contact information, and additional information needed to complete patient record;* Verifies third party payer coverage;* Collects self-pay balances;* Schedules patient for planned clinical services;* Makes referrals for customers to appropriate resources;* Must be able to consistently stay calm while interacting with clients telephonically or in person;* Must be able to adapt to a consistently changing fast paced environment that requires excellent multi-tasking skills;* Must be flexible with the business needs and report daily with a “can do” approach;* Provides estimates for clinical services;* Performs transcription of basic orders in software system for patient account processing;* Obtains/initiates authorizations for clinical services when required;* Obtains all required signatures needed for billing and clinical treatment;* Coordinates assistance and initiates self-pay workflows;* Responsible for assisting patients with SE Health financial assistance programs.;* Responsible for obtaining pre-certs/authorizations;* Transcribe orders consistently in the job role;* Calculate estimates for surgical procedures and inpatient admissions;* Performs all other duties as assigned.## **Shift**Day## Shift Details8:00 am - 4:30 pm## **FTE**1## **Type**Regular