Remote Pre-Registration & Pre-Cert Specialist

kansashealthsystem; United States; Remote; USD 48,000 - 66,000; Full time

Job summary

Kansas Health System is seeking a Pre-Reg/Pre-Cert Specialist to identify patients for pre-registration, verify demographic and insurance data, and enter information into the registration system. This remote role includes pre-service collections and obtaining pre-authorization for admissions and outpatient visits.

Responsibilities include calling patients to gather data, verifying third-party payer details, and coordinating with clinics and financial advisors to resolve insurance issues.

Qualifications

• High school diploma or GED required.
• Epic experience preferred.
• Prior pre-registration or prior authorization experience preferred.

Responsibilities

• Identify patients who qualify for pre-registration and ensure demographic and insurance data accuracy.
• Enter patient information into the registration system and verify MSPQ when appropriate.
• Contact patients and payers to verify coverage, obtain benefits, and pursue authorization as needed.
• Coordinate with clinics, hospital departments, and financial services to resolve insurance issues.
• Adhere to department policies and applicable regulations for pre-certification and registration.

Education

High School Graduate or GED

Tools

Epic

Job description

Kansas Health System is seeking a Pre-Reg/Pre-Cert Specialist to identify patients for pre-registration, verify demographic and insurance data, and enter information into the registration system. This remote role includes pre-service collections and obtaining pre-authorization for admissions and outpatient visits.

Responsibilities include calling patients to gather data, verifying third-party payer details, and coordinating with clinics and financial advisors to resolve insurance issues.