PreService Scheduling Specialist Full-Time Days

Trinity Health - Boise, ID

Full-time - Entry Level

Hybrid - Boise, ID

Religious, Grantmaking, Civic, Professional, and Similar Organizations

About the position

Saint Alphonsus Health System is hiring a PreService Specialist to support the Regional Scheduling Team. This position is responsible for scheduling patients for services within Saint Alphonsus Health System, performing insurance verification and prior authorizations, and notifying patients of their appointments prior to services being rendered. This position will be scheduled for 40 hours a week from 9am to 5:30pm Monday through Friday. This role will be eligible for hybrid work after an initial training period as designated by the hiring manager.

Responsibilities

• Responsible for pre-registering the patient for upcoming visit(s) by interviewing the patient, family member and/or guarantor.
• Validates, obtains and enters demographic, clinical, financial, and insurance information into the patient accounting system.
• Utilizes multiple modes of communication (phone, fax, patient portal/e-mail, mail, etc.) and in a professional, accurate, efficient and courteous manner to obtain information and ensure good patient relations and a smooth billing process.
• During pre-registration calls, provide information regarding directions, parking, transportation service, overnight accommodations, etc.
• Perform insurance eligibility/benefit verification, utilizing a variety of mechanisms (primarily EDI transactions and payer web access, and in some cases by calling payers directly) and documenting information within the patient accounting system.
• Determine need for appropriate service authorizations (pre-certifications, third-party authorizations, referrals) and contact the physician and Case Management/Utilization Review personnel, as necessary.
• Inform patient/guarantor of their liabilities and collect appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of pre-registration.
• Validate medical necessity (LCD/NCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance.

Requirements

• High school diploma or equivalent required.
• Associate degree or an equivalent combination of education and experience preferred but not required.
• Data entry skills (50-60 keystrokes per minute).
• Past work experience of at least 2 years within healthcare and/or payer environment performing patient access and/or customer service activities is highly desired but not required.

Benefits

• Comprehensive benefit package includes medical, vision, dental, paid time off, 403B, education assistance and more.
• Market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one.
• Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans.
• Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow.