Pre Access Specialist

This is a fully remote position, open to applicants in Kentucky.

📋 Description

• Organize and/or pre-register outpatient appointments and procedures.

• Collect and confirm patient demographic, insurance, and clinical data.

• Utilize scheduling, eligibility, registration, TRACE, and automated dialing software.

• Triage appointments and offer instructions for exam preparation.

• Prevent testing conflicts and provide scheduling flexibility across different units.

• Conduct pre-registration, eligibility verification, benefit analysis, authorization, and point-of-service collections.

• Review incoming fax orders and catalog them in TRACE.

• Relay discrepancies and changes in payer requirements to the relevant departments and management.

• Gather clinical and demographic details from referring offices and insurance providers.

• Record authorization numbers, validity periods, accounts, and updates to registrations.

• Collaborate with referring offices, hospital departments, payers, Quality Management, financial counseling, PFS, and Revenue Cycle teams.

• Assist with retro-authorization requests and resolve claims denials.

• Uphold patient confidentiality and foster positive working relationships.

• Engage in quality improvement initiatives, meetings, webinars, and designated educational activities.

• Execute other assigned tasks as necessary.

⛳️ Requirements

• High School Diploma or GED is required.

• Proficient in PC applications, including Word and Excel.

• Strong interpersonal and organizational skills.

• Demonstrated history of outstanding customer service abilities.

• Competent typing and data entry skills.

• Exceptional written and verbal communication capabilities.

• Ability to maintain confidentiality of patient information.

• Skills in organization and prioritization.

• At least 1 year of experience in a call center, office, healthcare, or other collaborative environment.

• Attendance at monthly staff meetings is required, which may include evening or weekend hours.

• Must fulfill annual educational requirements of the hospital and department.

• Compliance with St. Elizabeth Healthcare policies and procedures is mandatory.

🏝️ Benefits

• Competitive salary and comprehensive health benefits available within the first 30 days.

• Generous paid time off.

• Flexible working hours.

• Retirement savings plan with employer matching.

• Tuition reimbursement program.

• Opportunities for professional development.

• Wellness initiatives.

• Mental health support programs.

• Employee recognition initiatives.

• Career advancement opportunities through mentorship and internal mobility.