Phoenix, AZ, USA
3 days ago
Pre-Access Specialist II
Pre-Access Specialist II Pre-Access Specialist II  Apply!  Apply! Position Details Department: CORP | CBO Financial Clearance Location: Phoenix Shift: Mon-Fri, Days, 8am-5pm Category: Patient Access Posting #: 898663 Employee Type: Full-Time 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 specialties Investing in innovative research, including emerging treatments, tools and technologies Advancing education and training to shape the next generation of clinical leaders Advocating for the health and well-being of children and families Values We place children and families at the center of all we do We deliver exceptional care, every day and in every way We collaborate with colleagues, partners and communities to amplify our impact We set the standards of pediatric healthcare today, and innovate for the future We are accountable for making the highest quality care accessible and affordable Apply for this position? First Name * Last Name * Phone * Email Address *

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or drag your file to this box Are you a current or former employee? * No Current Employee Former Employee PCH Network ID: PCH Password: Validate SSN: - - DOB: Validate × Desired pay? How did you hear about this position? College/University Event Direct Mail Employee Referral Internal Transfer Job Board Job Fair Journal Newspaper Open House Professional Association Radio Retained to Agency PCH Website Social Media (FB, Twitter, LinkedIn) Other Who referred you * Which department do they work in? Do you know their phone number/email? Position Qualifications Please review the following qualifications and specify whether you meet each of the requirements listed. Education Do you meet this requirement? 1. Associates in Business or related field OR an equivalent combination of education and experience.
Required Yes No Experience Do you meet this requirement? 1. Experience with EMR, document management/imaging system, or Payer websites platform.
Required Yes No 2. One (1) year of experience requesting Professional/Clinic or Hospital Authorizations
Required Yes No 3. Experience reviewing and discussing out of pocket liability to patients/guarantors.
Required Yes No 4. One (1) year of customer service experience
Required Yes No 5. Knowledge base and experience with CPT codes, J Codes, and ICD Codes.
Required Yes No 6. One (1) year of medical registration or scheduling experience.
Preferred Yes No Special Skills Do you meet this requirement? 1. Must be able to work independently and effectively in a high-volume, fast paced environment with changing priorities. Must possess customer-focused attitude and professional demeanor.
Required Yes No 2. Excellent communication skills (Written and Oral).
Required Yes No 3. Knowledge of Medical Terminology and an understanding of HIPAA Privacy Laws.
Required Yes No 4. Analytical skills with strong attention to detail and a high degree of accuracy.
Required Yes No 5. Proficiency with computer based systems.
Required Yes No 6. Bilingual (Spanish)
Preferred Yes No 7. Follow any payer or governmental requirement as required by the organization.
Required Yes No Physical Requirements & Occupational Exposure/Risk Potential 1. Physical Requirement - Climbing - Occasionally 2. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally 3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Frequently 4. Physical Requirement - Hearing - Frequently 5. Physical Requirement - Pushing/pulling - Occasionally 6. Physical Requirement - Reaching - Occasionally 7. Physical Requirement - Sitting - Constantly 8. Physical Requirement - Standing - Occasionally 9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally 10. Physical Requirement - Talking - Constantly 11. Physical Requirement - Tasting/smelling - Occasionally 12. Physical Requirement - Walking - Occasionally 13. Physical Requirement - Near Vision - Frequently 14. Physical Requirement - Far Vision - Frequently 15. Physical Requirement - Color Discrimination - Occasionally 16. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly 17. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally 18. 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 Next 
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