Patient Access & Pre-Certification Specialist

Piedmont Healthcare, Inc.; Atlanta (GA); On-site; USD 52,000 - 68,000; Full time

Job summary

Piedmont Healthcare Corporate is seeking a Patient Access Specialist to serve as front line support in the Patient Connection Center. You will review accounts for hospital services to ensure completeness prior to patient arrival, verify insurance, confirm benefits, determine authorization requirements, and initiate or obtain pre-certification, creating estimates for pre-service patient liability.

Required education is a GED or high school diploma, with 1 year in healthcare revenue cycle or

Qualifications

• 1 year in Healthcare Revenue Cycle or related clerical accounting/finance experience.
• 3 years of healthcare Revenue Cycle experience preferred.
• Epic experience preferred.

Responsibilities

• Reviews accounts for hospital services to ensure completeness prior to patient arrival.
• Verifies patient insurance, confirms benefits, determines authorization requirements, initiates and obtains pre-certification or authorization.
• Creates estimates to determine pre-service patient liability.

Skills

Healthcare Revenue Cycle

Insurance verification

Education

GED/High School Diploma

HFMA Certification

Certified Revenue Cycle Representative

Tools

Epic Systems

Job description

Piedmont Healthcare Corporate is seeking a Patient Access Specialist to serve as front line support in the Patient Connection Center. You will review accounts for hospital services to ensure completeness prior to patient arrival, verify insurance, confirm benefits, determine authorization requirements, and initiate or obtain pre-certification, creating estimates for pre-service patient liability.

Required education is a GED or high school diploma, with 1 year in healthcare revenue cycle or