Position Summary

The Pre Access Specialist II is responsible for accurate and complete insurance verification, authorization, and complete pre-registration of all scheduled Diagnostic, Surgical, Audiology and/or Rehabilitation visits. The position works within the EMR using an automated insurance verification tool along with payer websites and documents within the EMR.

Education

• Associates in Business or related field OR an equivalent combination of education and experience. (Required)

Experience

• Experience with EMR, document management/imaging system, or Payer websites platform. (Required)
• One (1) year of experience requesting Professional/Clinic or Hospital Authorizations (Required)
• Experience reviewing and discussing out of pocket liability to patients/guarantors. (Required)
• One (1) year of customer service experience (Required)
• Knowledge base and experience with CPT codes, J Codes, and ICD Codes. (Required)
• One (1) year of medical registration or scheduling experience. (Preferred)

Special Skills

• Must be able to work independently and effectively in a high-volume, fast paced environment with changing priorities. Must possess customer-focused attitude and professional demeanor. (Required)
• Excellent communication skills (Written and Oral). (Required)
• Knowledge of Medical Terminology and an understanding of HIPAA Privacy Laws. (Required)
• Analytical skills with strong attention to detail and a high degree of accuracy. (Required)
• Proficiency with computer based systems. (Required)
• Bilingual (Spanish) (Preferred)
• Follow any payer or governmental requirement as required by the organization. (Required)

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About Phoenix Children's

For more information about the hospital, visit: http://www.phoenixchildrens.org.

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