The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients
Job Summary
The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients.
This role is responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits.
Works closely with the clinics, hospital ancillary departments, and patient financial advisors regarding potential complications regarding insurance coverage.
Matching Summary
The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients.
Skills & Requirements
Must-have
Pre-registration and pre-certification
Patient demographic and insurance data entry
Verification of coverage and benefits
Pre-service collections and documentation
Adherence to insurance rules and regulations
Nice-to-have
Collaboration with clinics and ancillary departments
Referral to Financial Advisors
Timely notification of service restrictions
Key Requirements
High School Graduate or GED
1 or more years of experience in Epic
1 or more years of prior experience in pre-registration or prior authorization