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SalaryPosition Purpose:
Saint Alphonsus Health System is hiring a PreService Specialist to support the Regional Scheduling Team. This position is responsible for scheduling patients for services within Saint Alphonsus Health System, performing insurance verification and prior authorizations, and notifying patients of their appointments prior to services being rendered.
Position Highlights and Benefits:
- Schedule Information: This position will be scheduled for 20 hours a week Monday through Friday.
- Hybrid Eligibility: This role will be eligible for hybrid work after an initial training period as designated by the hiring manager.
- Day 1 Benefits for colleagues! Our comprehensive benefit package includes medical, vision, dental, paid time off, 403B, education assistance and more.
Minimum Qualifications:
- High school diploma or equivalent required.
- Associate degree or an equivalent combination of education and experience preferred but not required. Data entry skills (50-60 keystrokes per minute).
- Past work experience of at least 2 years within healthcare and/or payer environment performing patient access and/or customer service activities is highly desired but not required.
What You Will Do:
- Responsible for pre-registering the patient for upcoming visit(s) by interviewing the patient, family member and/or guarantor.
- Validates, obtains and enters demographic, clinical, financial, and insurance information into the patient accounting system.
- Utilizes multiple modes of communication (phone, fax, patient portal/e-mail, mail, etc.) and in a professional, accurate, efficient and courteous manner to obtain information and ensure good patient relations and a smooth billing process.
- During pre-registration calls, the position will provide information regarding directions, parking, transportation service, overnight accommodations, etc. Pre-Registration may be initiated by Scheduling staff with follow-up by the Pre-Service Specialist to ensure data integrity and completeness.
- Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms (primarily EDI transactions and payer web access, and in some cases by calling payers directly) and documenting information within the patient accounting system. Outcomes of the insurance eligibility/benefit verification activity will determine next steps (designation as a Self-Pay account, referral to financial counseling, etc.).
- Determines need for appropriate service authorizations (pre-certifications, third-party authorizations, referrals) and will contact the physician and Case Management/Utilization Review personnel, as necessary.
- Informs patient/guarantor of their liabilities and collects appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of pre-registration. Calculates patient liabilities and provides financial education, referring the patient to financial counseling, as required. Documents payments/actions in the patient accounting system and provides the patient with a payment receipt in the collection of funds.
- Validates medical necessity (LCD/NCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. Contacts scheduling and/or ancillary department staff for clarification, if cases require clarification of diagnosis and/or test(s)/procedure(s).
Highlights and Benefits:
When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon.
- We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one.
- Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop.
- We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow.
Visit https://www.saintalphonsus.org/careers/ to learn more!
Ministry/Facility Information:
Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based.
- Top 15 Health Systems in the country by IBM Watson Health;
- The region’s most advanced Trauma Center (Level II);
- Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
