The Role
Collects and verifies patient demographic and insurance information for outpatient and ambulatory services, confirms eligibility and pre-authorizations, coordinates benefits, documents account activity, handles inbound calls, and meets departmental KPIs.
Summary Generated by Built In
Keystone Advisors is a Certified Public Accounting (CPA) Firm with a proven 17-year track record providing Audit, Accounting, and Advisory Services in the areas of financial and administrative management, organizational and business improvement, program management support, budget support, financial analytical services and reconciliation, technology management and staff augmentation in Chicago, IL, Washington, DC, Alexandria, VA, and other metropolitan areas to both government and commercial clients.
Keystone Advisors is looking for a Pre-Registration Specialist to support one of our healthcare clients in Matteson, Illinois.
This is a hybrid position.
Job Summary:
The Pre-Registration Specialist collects information to preregister patients, verifies insurance eligibility, and/or other payment sources. The scope of services will include, but not limited to, outpatient services, same day procedures, and other ambulatory and hospital-based
services. This role will also Identify and determine order of priority for coordination of benefits (COB). Responds to customer concerns and reports status to Supervisor or Manager.
Typical Duties:
Keystone Advisors is looking for a Pre-Registration Specialist to support one of our healthcare clients in Matteson, Illinois.
This is a hybrid position.
Job Summary:
The Pre-Registration Specialist collects information to preregister patients, verifies insurance eligibility, and/or other payment sources. The scope of services will include, but not limited to, outpatient services, same day procedures, and other ambulatory and hospital-based
services. This role will also Identify and determine order of priority for coordination of benefits (COB). Responds to customer concerns and reports status to Supervisor or Manager.
Typical Duties:
- Uses available reporting or schedules to identify patients needing pre-registered for services.
- Contact patients via telephone to pre-register prior to scheduled appointments.
- Conducts initial screening of self-pay patients to determine eligibility for financial assistance of hospital-based outpatient services.
- Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.
- Obtains and updates all necessary demographic and insurance information.
- Contacts insurance companies to verify eligibility and benefits and obtain pre-authorizations within established timeframes.
- Correctly document notes and activities performed on a patient account.
- Answers all inbound phone calls in an efficient and professional manner.
- Adheres to key performance indicators (KPI's) to meet departmental and organizational pre-registration goals.
- Performs other duties as assigned.
- Knowledge and understanding of Federal, State, and local healthcare regulations.
- Knowledge of Microsoft Office Suite
- Strong customer service skills
- Excellent verbal and written communication skills
- Ability to follow HIPAA standards and comply with patient confidentiality policies.
- Ability to multi-task and meet quotas and deadlines.
- Demonstrate diligence, accuracy, and precision.
Minimum Qualifications
- High School Diploma or GED equivalent.
- One (1) year of experience in patient access or patient registration in a health care setting.
- One ((1) year of data entry experience.
- Prior call center experience.
- Competitive Salary
- Paid Time Off
- Health, Vision & Dental Insurance
- Health Savings Account (HSA)
- Flexible Spending Account (FSA)
- Short & Long Term Disability
- 401K
- Life Insurance
Skills Required
- High School Diploma or GED equivalent.
- One (1) year of experience in patient access or patient registration in a health care setting.
- Knowledge and understanding of Federal, State, and local healthcare regulations.
- Knowledge of Microsoft Office Suite.
- Strong customer service skills.
- Excellent verbal and written communication skills.
- Ability to follow HIPAA standards and comply with patient confidentiality policies.
- Ability to multi-task and meet quotas and deadlines.
- Demonstrate diligence, accuracy, and precision.
- One (1) year of data entry experience.
- Prior call center experience.
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The Company
