Pre-Access Specialist II

Pre-Access Specialist II Apply! Apply! Position Details

Department: CORP | CBO Financial Clearance

Category: Patient Access

Location: Phoenix

Employee Type: Regular

Posting #: 831237

Posted On: 4/17/2024

Position Summary

The Pre Access Specialist II is responsible for accurate and complete insurance verification, authorization, and complete pre-registration of all scheduled Diagnostic, Surgical, Audiology and/or Rehabilitation visits. The position works within the EMR using an automated insurance verification tool along with payer websites and documents within the EMR.

Position Duties

Obtains insurance verification and benefits using an automated verification tool, insurance carrier websites, or by phone. Prepares an estimate for scheduled service and notifies the patient/guarantor of any applicable out of pocket and requests payment if applicable. Accurately documents all information in the appropriate fields and or/account notes. Obtains all necessary authorizations for Diagnostic, Surgical, Audiology and/or Rehabilitation visits and accurately documents all information in the appropriate fields and/or account notes. Organizes, prioritizes and reviews daily work activity to ensure completion of assigned workload. Courteously answers telephone and/or emails and answers all questions in a timely manner. Maintains a positive working relationship with patients/guarantors, insurance companies, clinical personnel, co workers, and management to promote teamwork, cooperation, and a positive public image for PCH. Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by

Offering the most comprehensive care across ages, communities and specialtiesInvesting in innovative research, including emerging treatments, tools and technologiesAdvancing education and training to shape the next generation of clinical leadersAdvocating for the health and well-being of children and families

Values

We place children and families at the center of all we doWe deliver exceptional care, every day and in every wayWe collaborate with colleagues, partners and communities to amplify our impactWe set the standards of pediatric healthcare today, and innovate for the futureWe are accountable for making the highest quality care accessible and affordable

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Position Qualifications Please review the following qualifications and specify whether you meet each of the requirements listed.

Education Do you meet this requirement?

Associates in Business or related field or combination of education and experience.

Required

Yes No

Experience Do you meet this requirement?

Experience with EMR, document management/imaging system, or Payer websites platform.

Required

Yes No

1 Year experience requesting Professional/Clinic or Hospital Authorizations

Required

Yes No

Experience reviewing and discussing out of pocket liability to patients/guarantors.

Required

Yes No

Minimum of one year customer service experience

Required

Yes No

Knowledge base and experience with CPT codes, J Codes, and ICD Codes.

Required

Yes No

Minimum of one year of medical registration or scheduling experience.

Preferred

Yes No

Special Skills Do you meet this requirement?

• Must be able to work independently and ability to work effectively in a high-volume, fast paced environment with changing priorities. Must possess customer-focused attitude and professional demeanor.

Required

Yes No

• Excellent communication skills (Written and Oral).

Required

Yes No

• Knowledge of Medical Terminology and an understanding of HIPAA Privacy Laws.

Required

Yes No

• Analytical skills with strong attention to detail and a high degree of accuracy.

Required

Yes No

• Proficiency with computer based systems.

Required

Yes No

• Bilingual (Spanish)

Preferred

Yes No

Physical Requirements & Occupational Exposure/Risk Potential

Physical Requirement - Climbing - Occasionally Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Frequently Physical Requirement - Hearing - Frequently Physical Requirement - Pushing/pulling - Occasionally Physical Requirement - Reaching - Occasionally Physical Requirement - Sitting - Constantly Physical Requirement - Standing - Occasionally Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally Physical Requirement - Talking - Constantly Physical Requirement - Tasting/smelling - Occasionally Physical Requirement - Walking - Occasionally Physical Requirement - Near Vision - Frequently Physical Requirement - Far Vision - Frequently Physical Requirement - Color Discrimination - Occasionally Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly Physical Requirement - Lift up to 35 pounds without assistance - Occasionally Physical Requirement - Lift more than 35 pounds without assistance - Occasionally

I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply

I Agree