Patient Access & Scheduling Associate (Pre-Auth)

BronxCare Health System; City of Yonkers (NY); On-site; USD 42,000 - 52,000; Full time

Job summary

BronxCare Health System is seeking a Central Registration Associate to assist patients, facilities and other callers with scheduling outpatient services in a high-volume call center. This role ensures appointments align with insurance requirements and coordinates benefits and prior authorizations to support a smooth pre-registration process.

You will verify insurance, handle pre-registration data, and liaise with clinics and departments to maintain professional, confidential service in

Qualifications

• High School or GED required, Associates preferred.
• Knowledge of Windows OS and Microsoft Office applications including Microsoft Outlook/Exchange is required, Word, and Internet browser applications is required.
• 1-2 years customer service experience, preferably in a call center and/or outpatient healthcare environment is required.
• 1-2 years’ experience involving Health Benefit verification and Third-Party Billing is strongly preferred.
• Bilingual – English/Spanish proficiency is preferred.

Responsibilities

• The employee’s primary responsibility is to deliver an outstanding patient experience, in every way, every time and understand the importance that (s) he contributes to the BronxCare commitment to patients and families.
• Responsible for centralized telephone scheduling of patient appointments through the use of ALLSCRIPTS in a Call Center Environment. The scheduling activities consist of but not limited to scheduling, rescheduling and cancellations.
• Demonstrates proficiency in Pre-Registration and Pre-certification requirements for each insurance plan to ensure proper approvals and assures coordination of benefits are available prior to patient arrival.
• Verifies insurance, authorizations and pre-registration data for each patient appointment scheduling. Incorporates missing data and changes to demographics when advised by patient.
• Works with Hospital/Clinics personnel to facilitate appointments scheduling for Hospital In-patient discharge follow up visits to ensure continuity of care.
• Maintain the highest level of professionalism and confidentiality at all times to ensure compliance with Federal/State regulations such as HIPPA and EMTALA.
• Act as a liaison with clinics, physicians, patients, staff, insurers and ancillary departments and maintain a positive relationship with all.

Skills

Customer service

Call center experience

Health benefits verification

Third-Party Billing knowledge

Bilingual English/Spanish

Data entry

Communication

Adaptability

Education

High School Diploma or GED

Associate's degree preferred

Tools

Windows OS

Microsoft Office (Outlook/Word)

Internet browsers

Job description

BronxCare Health System is seeking a Central Registration Associate to assist patients, facilities and other callers with scheduling outpatient services in a high-volume call center. This role ensures appointments align with insurance requirements and coordinates benefits and prior authorizations to support a smooth pre-registration process.

You will verify insurance, handle pre-registration data, and liaise with clinics and departments to maintain professional, confidential service in