Remote Pre-Service Specialist - Patient Access & Scheduling

Embedded Shishya; United States; Remote; USD 42,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

Vision & Dental

Retirement with employer match

Job summary

CoxHealth is seeking a Pre Service Specialist II to join its fast-paced call center. You will handle incoming and outgoing calls, acting as a liaison between patients, payers and the health care team, and perform order management with patient demographics and insurance verification.

The role includes determining medical necessity, pre-authorization requirements, calculating patient estimates, and sometimes rescheduling appointments.

Qualifications

• High School Diploma or equivalent required.
• Preferred: 1 year pre-registration, scheduling, financial counseling or equivalent education/experience.
• Knowledge of medical terminology or CPT codes.

Responsibilities

• A Pre Service Specialist works in a fast paced call center environment.
• Receives incoming and makes outgoing phone calls while serving as a liaison between patients, payers, and other health care team members.
• Responsible for order management as well as verifying patient demographics, insurance information, medical necessity and pre-authorization requirements.
• Calculates patient estimates based on the service scheduled, contracted plan and reimbursement allowances, benefits and out of pocket thresholds.
• May assist in rescheduling patient appointments when required.
• May perform a preliminary Financial Assistance screening to determine eligibility for assistance programs, facilitate applications and schedule appointments with the Financial Navigation Team.

Skills

Customer service

Medical terminology

CPT codes

Computer skills

Multi-tasking

Adaptability

Initiative

Privacy

Education

High School Diploma or equivalent

Job description

CoxHealth is seeking a Pre Service Specialist II to join its fast-paced call center. You will handle incoming and outgoing calls, acting as a liaison between patients, payers and the health care team, and perform order management with patient demographics and insurance verification.

The role includes determining medical necessity, pre-authorization requirements, calculating patient estimates, and sometimes rescheduling appointments.