Preregistration Specialist

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Preregistration Specialist

Job Description

Responsible for obtaining insurance pre-authorizations and contacting patients to schedule ordered tests/procedures.  Will determine patient out-of-pocket balances and attempt to collect payment.  Works as a customer service liaison between the ordering provider office, insurance company, and the patient to insure a seamless patient experience.

Department: Patient Services

Hours: M-F 40 hours/week, Fully Remote work

Required: High School Diploma

Pay: Based on experience, starting at $18.68

Location: Remote work

Responsibilities

Abides and upholds all requirements stipulated in the remote worker policy and agreement., Any other duties and responsibilities as assigned by management., Calls patients to communicate pre-authorization status, schedule appointments, communicates prep instructions, and discuss financial liability/payment collection., Checks medical necessity for ordered tests and communicates with ordering provider as needed., Creates pre-registration encounters to obtain insurance eligibility., Determines patient out-of-pocket expense., Documents all pre-authorization and financial actions on patient encounters., Maintains a familiarity with the various insurance requirements as they pertain to pre-authorizations., Reads and understands insurance eligibility transactions and takes appropriate actions resulting from those reports., Remains current on new procedures, updated prep instructions and scheduling restrictions., Serves as a customer service representative and liaison between the patient, insurance company, and provider office., Submits insurance pre-authorizations as needed per insurance company requirements., Works closely with the ancillary departments and radiologists to ensure proper scheduling., Works closely with the provider office to resolve pre-authorization denials.

Requirements

High School (Required)

Compensation

Estimated Compensation Range

$18.68 - $28.95

Pay based on experience