Pre Access Specialist

🔥 15 hours ago

🐎 Kentucky – Remote

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⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Logo of St. Elizabeth Healthcare

St. Elizabeth Healthcare

10,000+ employees

🏥 Healthcare

Healthcare

St. Elizabeth Healthcare is a regional healthcare system and hospital network providing comprehensive, patient-centered medical services across Northern Kentucky, Southeastern Indiana and Greater Cincinnati. The organization operates hospitals, urgent care and emergency departments, primary and specialty care (including cancer, heart & vascular, maternity, orthopaedics and surgery), virtual/telehealth visits, mobile health units (mobile mammography and cardiovascular units), community outreach and a foundation for donations. The system supports more than 800 physicians and advanced practice providers, offers patient-facing services such as MyChart, online scheduling, language services, financial assistance, and public health resources.

📋 Description

• Schedule and/or pre-register outpatient procedures and appointments via telephone, fax requests, or CPOE work queues • Obtain accurate patient demographic, insurance, and clinical information • Perform appointment triage and provide exam preparation instructions • Complete pre-registration, eligibility and benefit analysis, insurance verification, and authorization processes • Review and index incoming fax orders in Trace • Provide clinical and demographic information to insurance companies via web or phone • Document authorization numbers and valid dates • Monitor payer protocol and authorization requirement changes • Perform eligibility and benefit analysis for admissions, surgeries, and observation services • Update registration records according to standard policies and procedures • Collaborate with departments, referring offices, physicians, payers, financial counseling, Quality Management, PFS, and Revenue Cycle • Complete retro-authorization requests and support claims denial resolution • Complete point-of-service collections and document accounts appropriately • Maintain patient confidentiality and deliver courteous customer service • Participate in quality improvement, meetings, webinars, and other assigned duties

🎯 Requirements

• High School Diploma or GED • 1-year experience in call center, office, healthcare, or other team-oriented setting • PC skills, including Word and Excel • Strong interpersonal and organization skills • Proven track record of excellent customer service skills • Good typing skills / data entry skills • Excellent communication skills (both written and verbal) • Ability to maintain patient confidentiality • Organization and prioritization skills • Required to attend monthly staff meetings, with possible evening or weekend hours • Responsible for completing annual hospital and department educational requirements • Adhere to policy and procedures of St. Elizabeth Healthcare

🏖️ Benefits

• Competitive pay and comprehensive health coverage within the first 30 days • Generous paid time off and flexible work schedules • Retirement savings with employer match • Tuition reimbursement and professional development opportunities • Wellness, mental health, and recognition programs • Career advancement through mentorship and internal mobility

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