Remote Pre-Access Specialist II: Insurance & Auth

Phoenix Children's Hospital, Inc.; Phoenix (AZ); Hybrid; USD 40,000 - 60,000; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking a Pre Access Specialist II to manage insurance verification, pre-registration, and authorizations for diagnostic, surgical, audiology, and rehabilitation visits. The role uses the EMR and payer portals to verify coverage and estimate patient out-of-pocket costs.

You will work Mon-Fri, 8am-5pm, in a telecommuting capacity, collaborating with patients, guarantors and clinical staff to ensure accurate eligibility and smooth scheduling.

Qualifications

• Experience with insurance verification and pre-authorization processes.
• Familiarity with EMR systems and payer websites.
• Excellent communication with patients and guarantors.

Responsibilities

• Obtain insurance verification and benefits using verification tools and payer websites.
• Obtain all required authorizations for scheduled visits and document details.
• Organize and prioritize daily work to complete workload.
• Answer phone and emails promptly, maintaining positive relationships.
• Participate in ongoing education to maintain skills.

Skills

Insurance verification

Authorization handling

Pre-registration

EMR use

Customer service

Tools

EMR system

Payer portals

Job description

Phoenix Children's Hospital, Inc. is seeking a Pre Access Specialist II to manage insurance verification, pre-registration, and authorizations for diagnostic, surgical, audiology, and rehabilitation visits. The role uses the EMR and payer portals to verify coverage and estimate patient out-of-pocket costs.

You will work Mon-Fri, 8am-5pm, in a telecommuting capacity, collaborating with patients, guarantors and clinical staff to ensure accurate eligibility and smooth scheduling.