Patient Access & Pre-Registration Specialist

Carson Tahoe Health; Carson City (NV); On-site; USD 24,796 - 30,307; Full time

Job summary

Carson Tahoe Health is seeking a Patient Access & Pre Services Representative for US:NV:Carson City. The role focuses on obtaining authorizations and validating benefits for scheduled services across the health system, and coordinating pre-registration with upfront copay/deductible collection for adult patients.

The position requires at least 3 years in healthcare registrations or insurance verification, strong computer skills, and proficiency in Microsoft Office.

Qualifications

• High school diploma or equivalent.
• Minimum of three (3) years experience in a health care setting involving computerized patient registration and/or insurance verification/benefit responsibilities.
• Must demonstrate a high level of computer skills including hospital intranet site and internet.
• Utilization review, medical terminology and working knowledge of Microsoft Office preferred.
• Clearly communicates both verbally and in writing.

Responsibilities

• Obtains/validates authorizations and benefits for all scheduled services across locations within 3 working days prior to service date (5 days to exceed).
• Completes thorough pre-registration with patient/guarantor regarding upfront copay/deductible and deposits.
• Maintains knowledge of medical necessity requirements and clinical quality guidelines with 95% accuracy.
• Achieves 50% department success rate in collecting patient share of cost.
• Assists with denials for authorizations and reviews of payment accuracy per payer/government contracts.
• Ensures documentation is noted in the ADT system and uses hospital IT systems daily.

Skills

Communication skills

Computer literacy

Verbal and written communication

Education

High school diploma or equivalent

Tools

Microsoft Office

Hospital IT systems

Job description

Carson Tahoe Health is seeking a Patient Access & Pre Services Representative for US:NV:Carson City. The role focuses on obtaining authorizations and validating benefits for scheduled services across the health system, and coordinating pre-registration with upfront copay/deductible collection for adult patients.

The position requires at least 3 years in healthcare registrations or insurance verification, strong computer skills, and proficiency in Microsoft Office.