Preregistration Specialist II - Financial Clearance

Penn Medicine; Bala Cynwyd (PA); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Penn Medicine is seeking a Pre-Registration Specialist II to join the Financial Clearance team in Bala Cynwyd, PA. You will leverage specialized knowledge of insurance plans to resolve complex patient accounts and ensure accurate pre-authorization where required.

In this role, you will communicate price estimates and payment plan options clearly to patients and work with scheduling, financial counseling, and registration staff to streamline the patient’s day of service.

Qualifications

• Requires 5+ years in Patient Access or Medical Billing.
• Demonstrates knowledge of insurance plans and authorization processes.
• Ability to communicate financial information clearly to patients.

Responsibilities

• Obtains and documents pre-registration details including demographics, insurance, referrals, and pre-certifications.
• Verifies patient information and secures authorizations as needed.
• Discusses payment options and deposits; informs patients about coverage and co-payments.
• Collaborates with scheduling, financial counseling, and registration staff to minimize patient wait times on the day of service.
• Mentors staff as part of training programs and supports unit goals.

Skills

Patient Access

Medical Billing

Insurance Knowledge

Pre-Registration

Care Coordination

Education

High School Diploma or GED

Equivalent Experience (5+ years in Patient Access/Medical Billing)

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?

Entity: Hospital of the University of Pennsylvania

Department: Financial Clearance

Location: Penn Medicine Bala Cynwyd- 2 Bala Plaza

Hours: Full Time

Summary

• The Pre-Registration Specialist II reports to the Supervisor of Financial Clearance, this individual possesses a more specialized knowledge of insurance plans and policies in regards to help resolve complex patient accounts and inquiries. The Pre-Registration Specialist II ensures all financial obligations are communicated to patients clearly, are updated on the account, and are detailed to ensure expeditious processing of patient accounts in advanced practice based settings and outpatient hospital departments. This position reviews and works the unauthorized report to track and determine which accounts still need authorizations to be obtained. Accurately identifies primary and secondary payers. This individual will relay relevant financial information (e.g., price estimates and payment plan options) in a clear and patient-friendly manner. This position works collaboratively with scheduling, financial counseling, and registration staff members to ensure patient wait times are minimized on the day of service. This individual participates and assists with training and mentoring staff members according to the organization's training programs.

Responsibilities

• Obtains and documents specific details related to financial clearing patients in advance of service. Financial Clearance includes demographic, insurance, referrals, authorizations/pre-certification (if necessary)
• Certifies patient demographic, insurance, and financial data collected during scheduling and pre-registration activities
• Appropriately collects and/or sets payment arrangements with patients or their representative, scheduling payments on deposits due, which may include screening of patients for enrollment in available credit option programs.
• Effectively communicates with payer to determine extent of coverage and other limitations or co-payments provisions. Maintains knowledge of and complicates with each payer’s requirements for verifying insurance and obtaining preauthorizations/ pre-certifications
• Documents all information obtained during pre-registration activities. Identifies un- and underinsured and low-income patients; refers them to financial staff who can help with financial assistance options and other arrangements prior to patient visit
• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
• Other duties as assigned to support the unit, department, entity, and health system organization

Credentials

Education or Equivalent Experience

• H.S. Diploma/GED (Required)
• Education Specialization:Equivalent Experience:And 5+ years Work experience in Patient Access or Medical Billing

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.