Pre Service Specialist

ID 2025-34508
Location
Cone Health
Work Location
US-NC-Greensboro
Division : Name
System Wide
Department : Name
SW-Pre-Service Center
Category
CLERICAL/ADMIN
Position Sub-Category
ADMISSIONS
Position Type
Full Time (40 hours/week)
Employment Type
Employee
Exempt/NonExempt
Non-Exempt
FTE
1.00
Workforce Status
Hybrid I
Work Hours
40.00
Provider Schedule (specific schedule)
Monday - Friday 9:30am - 6:00pm
On call Required
No
Sub Category
Admissions

Overview

 
The Pre Service Specialist completes pre-registration and financial clearance functions prior to the patient?s arrival for service. This role collects and validates accurate patient demographic and insurance information, obtains pre-certification/authorization as required, and enters all necessary information into the organization's electronic database. Working under direct supervision, this role 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. The schedule for this position is Monday - Friday, 9:30am - 6:00pm.

 

Responsibilities

 

 
  • Accesses scheduled patient accounts for the purpose of completing the financial clearance process to reduce financial risk by; validating authorization on file, collecting patient liability, identifying needs for financial assistance.
  • Contacts the patient to obtain/validate demographics and insurance information.
  • Collects and accurately documents initial pre-certification/authorization information if available.
  • Ensures the ordering provider office has initiated the process for obtaining a required referral/authorization if not found on file with insurance.
  • Completes insurance verification and eligibility checks and documents patient liability.
  • Communicates issues or potential issues involving customer service and process improvement opportunities to management.
  • Performs other duties as assigned.

Qualifications

 

EDUCATION:
Required: High School Diploma or equivalent

 

EXPERIENCE:
Required: 1 year of experience.

 

LICENSURE/CERTIFICATION/REGISTRY/LISTING:
 

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