Patient Pre-Service Representative

  • excelsior springs
Monitors the process of incoming patient orders and obtains information necessary for our business partners to complete the pre-authorization process.Responsible for collecting all necessary documentation, contacting the referring physician or their office for additional information, or clarifying the order.Handles all aspects of scheduling.Liaison between hospital, doctors office staff, and specialty clinic.Oversight of Prior Auth process daily and alerting Patient Access Manager with issues and concerns.Responsible for the completion of the required pre-authorization process for obtaining insurance and approval for walk in patients.Review daily admissions, verify benefits, obtain initial approval for admissions, and make notification to Utilization Review (UR) department.Prints schedules for ancillary and physicians office as requested.Complete the Pre-Registration process for all scheduled patients and ensure active insurance coverage.Completes the Surgery process to ensure we have all pre-surgical, pre-registration, and authorization completed for each account prior to service.Complies with all-payer regulations and requirements.Identifies problems and offers constructive suggestions for improvement within the department, sharing with the Patient Access Manager in a private setting.Performs other duties and responsibilities as assigned.Maintains productivity levels as determined by management <img src="https://ars2.equest.com/? response_id=3dccc054f8d73a0d1fe22df3ae42bdc8&view" alt=" " width="1" height="1"/>