Pre-Services Specialist - Radiation Oncology Londonderry/Manchester - Per Diem

SolutionHealth; Londonderry (NH); On-site; USD 30,000 - 39,000; Part time

Job summary

SolutionHealth seeks a Per Diem Pre Services Specialist - Radiation Oncology to support both Manchester and Londonderry locations. Day shift coverage is required, with responsibilities spanning patient access workflows and financial clearance prior to care.

You will contact patients, verify insurance, and coordinate with PCP offices and payers to ensure smooth onboarding, referrals, and pre-certification where needed. This role emphasizes service excellence and cross-department collaboration.

Qualifications

• High school diploma or equivalent required; healthcare access/registration experience preferred.
• Experience with insurance verification and patient access registration preferred.
• Excellent customer service and communication skills.

Responsibilities

• Pre-register patients for future dates of service via inbound/outbound calls.
• Verify insurance eligibility and benefits using real-time tools and payer websites.
• Identify PCP discrepancies and guide patients to resolution.
• Validate referrals and pre-certification when applicable.
• Notify payers within 24 hours of inpatient admission.
• Coordinate with departments to ensure financial clearance before service.
• Schedule physician, patient, and hospital resources to ensure timely service.
• Provide pre-test instructions and promote off-site facilities when appropriate.

Skills

Patient Access

Insurance Verification

Medical Office Service

Call Center Etiquette

Education

High school diploma or equivalent

Tools

Real-time eligibility tool

Job description

Come work at the best place to give and receive care!

Job Description:

Per Diem Pre Services Specialist - Radiation Oncology - Coverage needs possible both at the Manchester and Londonderry locations. Weekday coverage needs.

About the Job

To provide superior service excellence and promote the Elliot Experience to all who access the Elliot Health System. Pre-Services Specialists are dedicated to completing patient access workflows related to scheduled patient services for the inpatient, ambulatory, and physician practice settings. Pre-Services Specialists work directly with referring physician offices, payers, and patients to ensure full financial clearance prior to the provision of care.

What You’ll Do

• Establishes contact with patients via inbound and outbound calls and accesses department Pre Registration work queues to pre-register patients for future dates of service.
• Verifies insurance eligibility and benefits by utilizing integrated real-time eligibility tool, payer websites, and telephone calls to payers documents, payer verification responses in designated fields within the registration pathway.
• Compares the primary care physician (PCP) information indicated by the insurance verification response to the location of the primary care office visit, if applicable; contacts the patient and provides guidance for resolution of PCP discrepancies or mismatches.
• Validates insurance referral status, if applicable, and communicates with PCP office to obtain referrals.
• Validates pre-certification status, if applicable, and communicates with ordering physicians’ offices to obtain pre-certification information, documents pre-certification status in designated field within the registration pathway.
• Provides notification of admission to payers within 24 hours of admission for inpatient stays.
• Initiates and completes the Medicare Secondary Payer Questionnaire (MSPQ) via a phone interview with the patient as necessary.
• Interprets insurance verification information to estimate patient financial responsibility amounts for scheduled services and inpatient stays.
• Communicates patient financial responsibility amounts and initiates the point of service (POS) collections process.
• If a patient Identifies or is identified as requiring payment assistance options the PSS would contact social work to help facilitate communication between patients and EHS Financial Counselors.
• Works collaboratively with all departments/services of the Elliot Health System to ensure that all scheduled patients have undergone financial clearance prior to service.
• Receives and directs incoming calls for inpatient and outpatient services.
• Schedules and coordinates physician, patient, department and hospital resources to assure prompt patient services.
• Keeps informed of department needs and coordinates schedules to meet test and procedure requirements.
• Provides pre-test instructions to patients for selected tests/procedures to ensure that patients are appropriately prepared for testing.
• Promotes utilization of off-site facilities by educating patients as to services provided and location.

What You’ll Need

High school diploma or equivalent required. Experience in healthcare Patient Access registration or insurance verification or office/customer service experience preferred.

Work Shift:

Days

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.