Preregistration Specialist - Bala Cynwyd

Penn Medicine; Bala Cynwyd (PA); On-site; USD 42,000 - 54,000; Full time

Job summary

Penn Medicine Bala Cynwyd is seeking a Pre-Registration Specialist to verify patient demographics, insurance, and financial information before service. You will obtain authorizations, referrals, and document payer requirements while collaborating with scheduling and financial counsel to maintain a smooth patient experience.

The role requires 3+ years in Patient Access or related areas, strong communication skills, and knowledge of insurance and billing regulations.

Qualifications

• High School Diploma or GED required.
• 3+ years of experience in Patient Access, Medical Billing, Healthcare Registration, or Customer Service required.
• Knowledge of insurance authorization, pre-certification, CMS medical necessity, and third-party billing requirements.
• Understanding of patient registration, collections, and applicable regulatory requirements.
• Strong customer service, communication, negotiation, and problem-solving skills.
• Knowledge of medical terminology.
• Ability to prioritize, manage multiple tasks, and work effectively in a team environment.

Responsibilities

• Verify and document patient demographic, insurance, and financial information.
• Obtain and document insurance authorizations, referrals, and related coverage details, including effective and expiration dates.
• Complete Medicare Secondary Payer questionnaires and other payer-required documentation.
• Verify insurance eligibility, coverage limitations, copayments, and patient financial responsibility.
• Collect patient payments and establish payment arrangements, including screening for available financing programs.
• Accurately identify primary and secondary insurance payers.
• Document all pre-registration activities and maintain accurate patient account records.
• Identify underinsured or uninsured patients and refer them for financial assistance evaluation when appropriate.
• Communicate financial estimates, payment options, and account information clearly and professionally.

Skills

Insurance authorizations

Pre-certification

CMS medical necessity

Third-party billing

Patient registration

Collections

Customer service

Communication

Negotiation

Problem-solving

Medical terminology

Teamwork

Education

High School Diploma or GED

Job description

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Preregistration Specialist - Penn Medicine Bala Cynwyd

Job Summary

The Pre-Registration Specialist reports to the Supervisor of Financial Clearance and works directly with patients to verify demographic, insurance, and financial information prior to service. This role conducts insurance eligibility verification, obtains required authorizations and referrals, communicates financial responsibilities, collects patient payments when appropriate, and ensures accurate account documentation. The specialist collaborates with scheduling, registration, and financial counseling teams to support a seamless patient experience and minimize day-of-service delays.

Position Responsibilities

• Verify and document patient demographic, insurance, and financial information.
• Obtain and document insurance authorizations, referrals, and related coverage details, including effective and expiration dates.
• Complete Medicare Secondary Payer questionnaires and other payer-required documentation.
• Verify insurance eligibility, coverage limitations, copayments, and patient financial responsibility.
• Collect patient payments and establish payment arrangements, including screening for available financing programs.
• Accurately identify primary and secondary insurance payers.
• Document all pre-registration activities and maintain accurate patient account records.
• Identify underinsured or uninsured patients and refer them for financial assistance evaluation when appropriate.
• Communicate financial estimates, payment options, and account information clearly and professionally.

Minimum Requirements

• High School Diploma or GED required.
• 3+ years of experience in Patient Access, Medical Billing, Healthcare Registration, or Customer Service required.

Essential Skills & Abilities

• Knowledge of insurance authorization, pre-certification, CMS medical necessity, and third-party billing requirements.
• Understanding of patient registration, collections, and applicable regulatory requirements.
• Strong customer service, communication, negotiation, and problem-solving skills.
• Knowledge of medical terminology.
• Ability to prioritize, manage multiple tasks, and work effectively in a team environment.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.