Pre Service Specialist

 Posted 2 hours ago
     
0-2 years experience
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AI Summary

Acts as a liaison between patients, payers, and healthcare teams in a fast-paced call center environment. Responsible for order management, insurance verification, pre-authorization, and calculating patient cost estimates.

Facility:

CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807

Department:

1672 PAS Financial Clearance Enterprise

Scheduled Weekly Hours:

40

Hours:

8:00 AM - 4:30 PM

Work Shift:

Day Shift (United States of America)

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:

 

  • Named one of Modern Healthcare’s Best Places to work five times.

  • Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group

  • Acknowledged by Forbes as one of the Best Employers for New Grads.

  • Healthcare Innovation's Top Companies to Work for in Healthcare (2025).

 

Benefits

  • Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)  

  • For a comprehensive list of benefits, please click here: Benefits | CoxHealth

Job Description:

A Pre Service Specialist works in a fast paced call center environment.  They receive incoming and make outgoing phone calls while serving as a liaison between patients, payers, and other health care team members.  The Pre Service Specialist II is responsible for order management as well as verifying patient demographics, insurance information, medical necessity and pre-authorization requirements. Calculates patient estimates based on the service scheduled, contracted plan and reimbursement allowances, benefits and out of pocket thresholds. The Pre-service specialist II may also assist in rescheduling patient appointments when required.  May perform a preliminary Financial Assistance screening to determine eligibility for assistance programs, facilitate applications and schedule appointments with the Financial Navigation Team.Education: ▪ Required: High School Diploma or equivalent Experience: ▪ Preferred: 1 year pre-registration, scheduling, financial counseling or equivalent education/experience Skills: • Excellent customer service and interpersonal skills • Knowledge of medical terminology or CPT or procedure codes • Strong computer and relevant application use skills • Ability to multi-task in a fast paced environment • Ability to effectively adapt and respond to urgent needs and requests • Demonstrates initiative and self-motivation • Demonstrates understanding and consistent practice of need for privacy and confidentiality Licensure/Certification/Registration: • Preferred: CHAA or CRCR

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