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)