Pre-Access Specialist II

Phoenix Children's; Phoenix (AZ); On-site; USD 38,000 - 54,000; Full time

Job summary

Phoenix Children's in Phoenix, AZ, is seeking a Pre-Access Specialist II to verify insurance, obtain authorizations, and pre-register patients for scheduled Diagnostic, Surgical, Audiology and Rehabilitation visits. The role uses an EMR and an automated verification tool to confirm benefits and educate families on potential out-of-pocket costs.

You will handle daily tasks with accuracy, communicate clearly with patients and providers, and participate in ongoing training to maintain competency.

Responsibilities

• Verify insurance coverage and benefits using an automated verification tool, payer websites, or by phone.
• Obtain required authorizations for scheduled visits and document in account notes.
• Organize, prioritize and review daily work activity to ensure completion of workload.
• Answer telephone and emails promptly, maintain positive relationships with patients, guarantors, and staff.

Job description

Pre-Access Specialist II
Department: CORP | CBO Financial Clearance
Location: Phoenix
Shift: Mon-Fri, Days, 8am-5pm
Category: Patient Access
Posting #: 1067799
Employee Type: PRN

Position Summary

The Pre Access Specialist II is responsible for accurate and complete insurance verification, authorization, and complete pre-registration of all scheduled Diagnostic, Surgical, Audiology and/or Rehabilitation visits. The position works within the EMR using an automated insurance verification tool along with payer websites and documents within the EMR.

Position Duties

• 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. Accurately documents all information in the appropriate fields and or/account notes.
• 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.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable