The Pre-Access Specialist will be responsible for verifying accurate insurance and demographic information, obtaining or verifying authorization, referrals or precertification, checking medical necessity, creating patient estimates and having financial clearance conversations with patients for outpatient procedures.
The Pre-Access Specialist will coordinate patient orders received from physician offices and internal ancillary departments assuring appropriate distribution to the servicing department. Reviews 100% of all scheduled procedure orders for accuracy including physician signature, test/procedure to be performed, date and diagnosis, calls physician office to clarify order as needed, and indexes order to the account.
Coordinates patient encounter utilizing multiple system applications: various registration applications, clinical operating systems, eligibility verification systems, medical necessity applications, scanning repository.
KNOWLEDGE, SKILLS, & ABILITIES