Patient Access & Pre-Registration Specialist

Anderson Hospital; Maryville (IL); On-site; USD 22,000 - 34,000; Full time

Job summary

Anderson Hospital in Maryville, IL is seeking a Patient Access professional to verify insurance eligibility, obtain pre-certifications, and complete pre-registrations for scheduled or non-scheduled services. The role emphasizes accurate data gathering and proactive communication with patients and physician offices.

The position requires 1-2 years of registration experience, strong typing skills (40–50 wpm), and excellent customer service.

Qualifications

• Education Level: High school diploma or equivalent.
• Prior Patient Access experience is desired.
• Experience Requirements: Typing skills of 40-50 wpm.
• Medical Terminology course or background preferred.
• Excellent communication and customer service skills needed.
• Computer and organizational skills.
• 1-2 years of registration experience with a detailed knowledge of insurance companies required.
• Collection experience a plus.

Responsibilities

• Obtains patient personal information and pertinent insurance information to accurately verify insurance eligibility, pre-certification information, financial obligations and medical necessity prior to creating the patient pre-registration.
• Collaborates with the physician offices to obtain any pre-certification information prior to the day of service and documents this information in patient record in the registration system.
• Communicates with the Financial Clearance Associate any financial obligations due that need to be communicated to the patient prior to the day of service and any patients that do not have insurance and require financial counseling.
• Communicates with the physician offices when the patient does not present with a valid order and identifies what is needed to be re-sent to the imaging center so that the patient can receive the services.
• Identifies when a physician is not in the registration physician dictionary and forwards that physician information to HIM to be added accordingly.
• Coordinates the pre-registrations for the day of service for the patient access staff.
• Assists the Patient Access staff with add-on or walk-in patients, determining if testing needs pre-certification and making phone calls to verify coverage.
• Performs quality improvements to records as indicated by the quality improvement tool (RQi) in a timely and efficient manner.
• Performs other miscellaneous assignments and/or duties as related to the position.

Skills

Communication skills

Customer service

Typing 40-50 wpm

Computer skills

Organizational skills

Medical terminology knowledge

Education

High school diploma or equivalent

Medical Terminology course

Job description

Anderson Hospital in Maryville, IL is seeking a Patient Access professional to verify insurance eligibility, obtain pre-certifications, and complete pre-registrations for scheduled or non-scheduled services. The role emphasizes accurate data gathering and proactive communication with patients and physician offices.

The position requires 1-2 years of registration experience, strong typing skills (40–50 wpm), and excellent customer service.