Patient Pre-Services Representative

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation rates to ensure that continual growth is possible. UKSC is a nurturing workplace for all healthcare professionals. We invite you to explore our current job openings and see if our opportunities could be the right fit for you.

Job Description:

Job Summary

Responsible for financial clearance of pre-service registration, including demographics, coverages, eligibility, guarantor type, COB, and benefits verification to ensure timely payment and increase efficiency during check-in of scheduled encounters ensuring a smooth patient access experience. Resolves complex registration scenarios that kick-out from registration and RTE programming. Coordinates with patients, payers, authorization coordinators and registration representatives. Contributes to process improvements, supports frontline staff through feedback and error correction, and helps maintain compliance with organizational policies, payer requirements, and regulatory standards.

Essential Functions

• Maintains a worklist of pre-service complex registration and RTE kickouts.

• Verifies insurance benefits and shares information with authorization team for resolution through authorization workflows and partnerships with clinical teams.

• Reviews and validates the accuracy of registration data, ensuring corrections are made to enable financial clearance and check-in efficiency.

• Contacts patients, payers, financial counselors and authorization coordinators to collect or clarify information such as insurance coverage or financial responsibility.

• Documents communications, tracks responses, and updates patient account records with accuracy and attention to detail.

• Meets departmental KPIs related to pre-service clearance, pre-registration accuracy, and patient satisfaction.

• Collaborates with clinical, scheduling, billing, and revenue cycle teams to ensure seamless information flow and patient access efficiency.

• Participates in departmental meetings and improvement initiatives aimed at enhancing pre-registration and financial clearance processes.

• Perform other duties as assigned.

Education Requirement: High school diploma or equivalent

Experience Requirement: 2–3 years of experience in patient access, registration, insurance verification, billing, revenue cycle operations or payer related field

An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures: N/A

Working Conditions

A. Lifting, pushing, and/or pulling objects up to 50lbs: 1. Never or minimal.

B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never.

C. Standing or walking with objects up to 10lbs: 3. Intermittent (10%–50%).

D. Standing or walking with objects up to 25lbs: 1. Never to 2. Occasional (not a regular expectation).

E. Sitting at computer workstation for extended periods: 4. Regular (> 50% of the time).

F. Risk of back injury from moving, lifting, or positioning patients, equipment, or materials: 1. Never.

G. Repetitive motion: 4. Regular (> 50% of the time) (typing, data entry, scanning).

H. Working at heights above 4 feet: 1. Never.

I. Working in confined spaces: 1. Never.

J. Risk of injuries from use of equipment on the job: 1. Rare.

K. Job-related travel: 1. Never to 2. Occasional.

L. Loud noises: 2. Occasional (< 10% of the time).

M. Temperature extremes: 1. Never.

N. Hazardous chemicals and fumes including waste: 2. Occasional (< 10% of the time).

O. Radiation: 2. Occasional (< 10% of the time).

P. Burns: 1. Never.

Q. Cuts/Punctures: 1. Never to 2. Occasional

R. Bloodborne/airborne pathogens: 3. Intermittent (10%–50%).

S. Recombinant DNA or viral vectors: 1. Never.

T. Combative/violent people: 3. Intermittent (10%–50%).

U. Animal handling (including carcasses): 1. Never.

V. Please specify others: High-stress environment, frequent patient/family interactions, and potential exposure to traumatic situations.

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

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