Pre Service Specialist

ID 2022-13226
Location
Cone Health
Work Location
US-NC-Greensboro
Division : Name
Finance
Department : Name
SW-Pre-Service Center
Category
CLERICAL/ADMIN
Position Sub-Category
ADMISSIONS
Position Type
Full Time
Employment Type
Employee
Exempt/NonExempt
Non-Exempt
FTE
1.00
Work Hours
40.00
Provider Schedule (specific schedule)
Monday-Friday, 8:00 AM - 4:30 PM
On call Required
No
Sub Category
Admissions

Overview

 
Under the leadership of the Pre-Service Center Management, the Pre-Service Specialist is responsible for completing pre-registration and financial clearance functions prior to the patient?s arrival for service. The Pre-Service Specialist is responsible for collecting and validating accurate patient demographic and insurance information, obtaining pre-certification/authorization as required, and entering all necessary information into Cone HealthLink (EPIC). The Pre-Service Specialist is also responsible for informing the patient of his/her approximate liability, collecting patient liabilities, identifying patients in need of financial assistance and referring patients to financial counseling as necessary.

This position requires multi-tasking and effective problem solving skills. It is expected that the Pre-Service Specialist will foster positive relationships with all patients in an effort to provide quality service.

The Pre-Service Specialist will remain in full compliance with all departmental, institutional and regulatory policies and procedures. The roles and responsibilities of this job support the mission, vision, values and strategies of Cone Health.

 

Responsibilities

 

 
  • Accesses scheduled patient accounts through Epic work queues(s) for the purpose of completing the financial clearance process. Contacts the patient to obtain / validate demographics and insurance information. Collects and accurately documents initial pre-certification/authorization information if available.
  • Initiates the process for obtaining a required referral/authorization if not obtained. Completes insurance verification and eligibility checks and documents patient liability.
  • Defers to Financial Clearance policy for non-urgent patient services if financial clearance has not been completed, if appropriate.
  • Proactively communicates issues or potential issues involving customer service and process improvement opportunities to management.
  • Identifies patients in need of financial assistance and refers patients to Financial Counseling when necessary.
  • Maintains excellent public relations with patients, families, and clinical staff.
  • Demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information.
  • Meets productivity requirements to ensure excellent service is provided to customers.
  • Maintains stable performance under pressure and handles stress in ways to maintain relationships with patients, customers, and co-workers.

Qualifications

 

EDUCATION:
High School Diploma or equivalent - Required

Associates, College Level Education - Preferred

High school diploma or equivalent required. Associate's degree or higher college level preferred.

 

EXPERIENCE:

1 to 2 years of experience required in Patient Access.

Prior experience preferred in Customer Service and Pre-Service (Pre-Registration and Financial Clearance).

 

LICENSURE/CERTIFICATION/REGISTRY/LISTING:
REQUIRED

PREFERRED

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