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Pre Access Specialist

🕒 September 29

🐎 Kentucky – Remote

infoinfo

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

Where this job comes from

Posted on St. Elizabeth Healthcare's careers page, not through a job board

First seen by Remote Rocketship September 29

Logo of St. Elizabeth Healthcare

St. Elizabeth Healthcare

5001 - 10000 employees

🏥 Healthcare

💊 Pharmaceuticals

Healthcare • Pharmaceuticals

St. Elizabeth Healthcare is one of the oldest, largest, and most respected medical providers in the Greater Cincinnati region. For over 150 years, it has served as the heart and soul of healthcare in Northern Kentucky. With six facilities across Northern Kentucky and Southeast Indiana, St. Elizabeth Healthcare offers a wide range of services including cardiac care, orthopedic treatments, women's wellness, oncology, family birth services, spine surgery, weight management, and diabetes care. The organization operates with nearly 1,200 licensed beds and employs around 8,500 associates, focusing on comprehensive and compassionate care with the support of state-of-the-art technology.

📋 Description

• Schedule and/or pre-register outpatient procedures and appointments via telephone, fax requests, or CPOE work queues • Obtain and verify patient demographic, insurance, and clinical information • Use scheduling software, automated dialer, Trace tools, and online eligibility software • Conduct appointment triage and provide exam preparation instructions • Perform pre-registration, insurance verification, benefit analysis, authorization, and point-of-service collection • Review and index incoming fax orders • Communicate discrepancies and payer requirement changes to appropriate departments and management • Obtain clinical and demographic information for insurance authorization requests • Document authorization numbers, valid dates, accounts, and registration updates • Perform eligibility and benefit analysis for admissions, surgeries, and observation services • Coordinate with referring offices, hospital departments, payers, Quality Management, financial counseling, PFS, and Revenue Cycle • Support retro-authorization requests and claims-denial resolution • Maintain patient confidentiality and positive working relationships • Participate in continuous quality improvement, meetings, webinars, and other assigned duties

🎯 Requirements

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

🏖️ Benefits

• Competitive pay and comprehensive health coverage within the first 30 days • Generous paid time off • Flexible work schedules • Retirement savings with employer match • Tuition reimbursement • Professional development opportunities • Wellness programs • Mental health programs • Recognition programs • Career advancement through mentorship and internal mobility

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