Pre-Registration Representative - Pre-Registration HSD - FT - Day

Stormont Vail Health; Topeka, Northern (KS, KY); Hybrid; USD 36,000 - 54,000; Full time

Job summary

Stormont Vail Health in Topeka, KS, is seeking a patient access specialist focused on scheduling, insurance verification, and preregistration to ensure a smooth patient experience. You will verify benefits, determine coverage, and assist with prior authorizations as needed.

The role requires strong knowledge of medical terminology, excellent customer service, and proficiency with Windows-based systems. Prior experience in a hospital or payer setting is preferred.

Qualifications

• High School diploma or GED required.
• Associate degree preferred.
• Minimum 2 years of experience in a physician office, hospital, or payer setting.

Responsibilities

• Schedule patients for hospital services based on physician orders, including complex cases.
• Perform insurance verification and determine in/out of network status and benefits.
• Complete prior authorizations and precertifications for identified services.
• Handle preregistration by collecting demographics and insurance information.
• Provide patient education on anticipated balances and payment options.

Skills

Medical terminology

Microsoft Windows

Customer service

Interpersonal communication

Multitasking

Education

High School Diploma / GED

Associate's Degree

Tools

Epic

Microsoft Windows

Job description

Job Information Exemption Status: Non-Exempt A Brief Overview This position plays a vital part in ensuring patients receive needed care and that insurance billing is accurate with benefit to both the patient and the organization. Duties include, but are not limited to scheduling, insurance verification for benefits and eligibility, completion of prior authorizations/pre-certifications, estimates of patient responsibility and preregistration of the patient for a positive customer experience. Education Qualifications* High School Diploma / GED Required* Associate's Degree PreferredExperience Qualifications* 2 years Physician office, hospital or payer setting with experience relating to patient registration, patient scheduling, exam or procedure scheduling, prior authorization completion or insurance verification. RequiredSkills and Abilities* Knowledge of medical terminology (Required proficiency)* Knowledge of MicroSoft Windows applications (Preferred proficiency)* Excellent customer service skills (Preferred proficiency)* Excellent interpersonal & communication skills with the ability to exhibit patience. (Preferred proficiency)* Ability to prioritize and handle multiple tasks (Preferred proficiency)What you will do* Schedules patients for hospital services based upon physician orders. This includes scheduling of complex cases, which require the coordination of multiple resources and determination of need for lab work pre-services. Cancels and reschedules appointments as needed. Works with service departments to coordinate the scheduling of urgent same-day add-ons.* Completes insurance verification which includes determining in or out of network status, verifying insurance eligibility and benefits with the payer, coordinating multiple insurance coverages, identifying insurance coverage when needed and all other activities relating to the review of insurance.* Completes the preregistration of scheduled patients via phone by collecting patient demographics, insurance information, accident information, and verifying insurance coverage with payer, educating patient on when and where to arrive for service and any rules related to arrival.* Completes prior authorizations for identified services. Includes review of medical policies to ensure all criteria is met, the process of completing the prior authorization with the payer and the documentation of prior authorization numbers for inclusion on the claim.* Completes precertification (or “Notice of Admission”) for inpatient and identified outpatient admissions with payers after patient arrival. Includes entry of received information into the electronic record for downstream processes.* Creates estimates for identified services within appropriate timeframes. This includes providing financial education to the patient on anticipated balances and the collection of anticipated balances.* Mentors, orients and provides at-the-elbow training for new staff.* Prepares paper and electronic documents for scanning into Epic.* Answers benefits and eligibility questions from patients, office staff, Case Management, Social Work or any other source.* Reviews incoming faxes and distributes to appropriate departments within the organization.* When requested, reviews standard work and training materials for clarity and accuracy.* Participates in process improvement activities.Required for All Jobs* Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health* Performs other duties as assignedPatient Facing Options* Position is Not Patient FacingRemote Work Guidelines* Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.* Stable access to electricity and a minimum of 25mb upload and internet speed.* Dedicate full attention to the job duties and communication with others during working hours.* Adhere to break and attendance schedules agreed upon with supervisor.* Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.Remote Work Capability* HybridScope* No Supervisory Responsibility* No Budget Responsibility No Budget ResponsibilityPhysical Demands* Carrying: Rarely less than 1 hour* Eye/Hand/Foot Coordination: Frequently 3-5 Hours* Hearing: Continuously greater than 5 hours* Reaching (Forward): Rarely less than 1 hour* Repetitive Motions: Continuously greater than 5 hours* Sitting: Continuously greater than 5 hours* Standing: Rarely less than 1 hour* Talking: Continuously greater than 5 hours