Patient Access & Authorization Specialist II

Phoenix Children's Hospital, Inc.; Phoenix, Northern (AZ, KY); Hybrid; USD 42,000 - 55,000; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking a Pre Access Specialist II to ensure accurate insurance verification, obtain authorizations, and complete pre-registration for scheduled Diagnostic, Surgical, Audiology, and Rehabilitation visits.

The role operates within the EMR using verification tools and payer websites to streamline patient access. The position emphasizes accurate documentation, quality customer service to patients and guarantors, and collaboration with clinical staff in a

Responsibilities

• Obtains insurance verification and benefits using an automated verification tool, insurance carrier websites, or by phone. Prepares an estimate for scheduled service and notifies the patient/guarantor of any applicable out of pocket and requests payment if applicable.
• Obtains all necessary authorizations for Diagnostic, Surgical, Audiology and/or Rehabilitation visits and accurately documents all information in the appropriate fields and/or account notes.
• Organizes, prioritizes and reviews daily work activity to ensure completion of assigned workload.
• Courteously answers telephone and/or emails and answers all questions in a timely manner. Maintains a positive working relationship with patients/guarantors, insurance companies, clinical personnel, co workers, and management to promote teamwork, cooperation, and a positive public image for Phoenix Children's.
• Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
• Performs miscellaneous job related duties as requested.

Job description

Phoenix Children's Hospital, Inc. is seeking a Pre Access Specialist II to ensure accurate insurance verification, obtain authorizations, and complete pre-registration for scheduled Diagnostic, Surgical, Audiology, and Rehabilitation visits.

The role operates within the EMR using verification tools and payer websites to streamline patient access. The position emphasizes accurate documentation, quality customer service to patients and guarantors, and collaboration with clinical staff in a