Precertification & Patient Access Specialist

Southeast Health; Alabama; On-site; USD 32,000 - 46,000; Full time

Job summary

Southeast Health is hiring for a patient access role focused on admission, registration, and revenue cycle support. You will collect demographic and billing data, verify payer coverage, and coordinate scheduling for services in a busy health system.

The position involves interacting with clients by phone and in person, maintaining accurate records, and providing high-quality customer service in a fast-paced environment.

Qualifications

• High school diploma is required.
• Prefer one year of hospital or clinic revenue cycle experience.
• Working knowledge of computers.
• Medical terminology required.

Responsibilities

• Works as part of a multi-disciplinary team to provide answers to inquiries and questions.
• Troubleshoot problems and provide information.
• Handle intervention or referrals with a professional and respectful customer service focus telephonically and/or in person.
• Provides a variety of support services in connection to the day-to-day operations in a health care environment.
• First and ongoing point of contact for all clients either by phone or in person.
• Provides scheduling or patient enrollment for services.
• Enters/updates all demographic information, financial/billing information, caregiver contact information, and additional information needed to complete patient record.
• Verifies third party payer coverage.
• Collects self-pay balances.
• Schedules patient for planned clinical services.
• Makes referrals for customers to appropriate resources.
• Must be able to consistently stay calm while interacting with clients telephonically or in person.
• Must be able to adapt to a consistently changing fast paced environment that requires excellent multi-tasking skills.
• Must be flexible with the business needs and report daily with a "can do" approach.
• Provides estimates for clinical services.
• Performs transcription of basic orders in software system for patient account processing.
• Obtains/initiates authorizations for clinical services when required.
• Obtains all required signatures needed for billing and clinical treatment.
• Coordinates assistance and initiates self-pay workflows.
• Responsible for assisting patients with SE Health financial assistance programs.
• Responsible for obtaining pre-certs/authorizations
• Transcribe orders consistently in the job role
• Calculate estimates for surgical procedures and inpatient admissions
• Performs all other duties as assigned.

Skills

Revenue cycle experience

Computer literacy

Medical terminology

Excellent communication

Interpersonal skills

Education

High School diploma

Tools

Keyboard typing

Calculator skills

Job description

Southeast Health is hiring for a patient access role focused on admission, registration, and revenue cycle support. You will collect demographic and billing data, verify payer coverage, and coordinate scheduling for services in a busy health system.

The position involves interacting with clients by phone and in person, maintaining accurate records, and providing high-quality customer service in a fast-paced environment.