Access Specialist III - Precertification Specialist

101 Southeast Health; United States; On-site; USD 35,000 - 52,000; Full time

Job summary

Southeast Health is seeking a Patient Registration / Revenue Cycle Support role to assist with patient information, billing, and scheduling in a health care environment. You will be the first contact for clients, handling inquiries and processing enrollments.

Responsibilities include verifying coverage, obtaining pre-authorizations, collecting payments, and maintaining accurate patient records while delivering excellent customer service in a busy setting.

Qualifications

• High School diploma required.
• Prefer two years of hospital or clinic revenue cycle experience.
• Working knowledge of computers.
• Medical terminology required.
• Medical terminology may be completed through SEH training and development program within orientation period.

Responsibilities

• 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 professional and respectful customer service, telephonically or in person.
• Provide a variety of support services in day-to-day operations of a health care environment.
• First and ongoing point of contact for all clients by phone or in person.
• Provide scheduling or patient enrollment for services.
• Enter/update demographic, financial/billing, caregiver contact, and other information for patient records.
• Verify third party payer coverage and collect self-pay balances.
• Schedule patients for planned clinical services and make referrals to resources.

Skills

Keyboard skills

Computer skills

Calculator skills

Education

High School diploma

Job description

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 two years 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
• Content expert in the area assigned
• Responsible for training within the department
• Backs up the department manager or director
• Proficient in all functions of the current area
• Performs all other duties as assigned.

Shift Day Shift Details 8:00 am - 4:30 pm FTE 1 Type Regular

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Equal Employment Employer Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities.

Southeast Health is an academic community-based health system serving the healthcare needs of 460,000 residents in southeast Alabama, southwest Georgia, and the Florida panhandle. The organization includes, Southeast Health Medical Center, a 420-bed hospital with the region’s largest medical group and the Alabama College of Osteopathic Medicine (ACOM), the state’s largest medical school. The philanthropic arm of the organization is the Southeast Health Foundation, and its population health division is Southeast Health Statera Network. Southeast Health, a not-for-profit organization, exists to promote healing, prevent disease, educate medicine’s brightest minds, and bring wellness and prosperity to the region it serves. Delivering excellent patient care and top-notch educational experiences begins with great employees, which is why we constantly strive to improve the work experience for our 3,000 team members.