Pre-Services Specialist - Interventional Spine - Per Diem

Come work at the best place to give and receive care! Job Description: About Us The Elliot Pain Management and Interventional Spine Center at River's Edge is a multi-disciplinary group of professionals committed to the compassionate treatment of patients in pain. The Center specializes in the scientific assessment, diagnosis, and treatment of pain-related disorders. We believe that early diagnosis and minimally invasive interventional therapy substantially reduce the number of patients requiring surgery or proceeding toward disability. Open Monday-Friday 8am - 5pm Pre-Services Specialists are dedicated to completing patient access workflows related to scheduled patient services for the inpatient, ambulatory, and physician practice settings. Pre-Services Specialists work directly with referring physician offices, payers, and patients to ensure full financial clearance prior to the provision of care. Key Responsibilities Follows established department policies to completely and accurately pre-register patients, verify insurance eligibility and benefits, validate pre-certification or referral status, and collect patient responsibility amounts for services provided throughout the EHS enterprise. Establishes contact with patients via inbound and outbound calls and accesses department Preregistration work queues to pre-register patients for future dates of service. Verifies insurance eligibility and benefits by utilizing integrated real-time eligibility tools, payer websites, and telephone calls to payers’ documents, payer verification responses in designated fields within the registration pathway. Compares the primary care physician (PCP) information indicated by the insurance verification response to the location of the primary care office visit, if applicable; contacts the patient and provides guidance for resolution of PCP discrepancies or mismatches. Validates insurance referral status, if applicable, and communicates with PCP office to obtain referrals. Validates pre-certification status, if applicable, and communicates with ordering physicians’ offices to obtain pre-certification information, documents pre-certification status in designated field within the registration pathway. Provides notification of admission to payers within 24 hours of admission for inpatient stays. Initiates and completes the Medicare Secondary Payer Questionnaire (MSPQ) via a phone interview with the patient as necessary. Interprets insurance verification information to estimate patient financial responsibility amounts for scheduled services and inpatient stays. Communicates patient financial responsibility amounts and initiates the point of service (POS) collections process. Identifies patients requiring payment assistance options and facilitates communication between patients and EHS Financial Counselors. Works collaboratively with all departments/services of the Elliot Health System to ensure that all scheduled patients have undergone financial clearance prior to service. Receives and directs incoming calls for inpatient and outpatient services. Schedules and coordinates physician, patient, department, and hospital resources to assure prompt patient services. Keeps informed of department needs and coordinates schedules to meet test and procedure requirements. Provides pre-test instructions to patients for selected tests/procedures to ensure that patients are appropriately prepared for testing. Promotes utilization of off-site facilities by educating patients as to services provided and location. Education/Experience/Licensure High school diploma or equivalent required. A minimum of two years of healthcare experience in Patient Access registration, preregistration, or insurance verification or equivalent office / customer service experience required. What Elliot Health System Has to Offer Health, dental, prescription, and vision coverage for full-time & part-time employees Short-term disability, long-term disability, and life insurance coverage Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan Work Shift: per diem days SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. SolutionHealth is an integrated health system uniquely focused on providing access to high-value primary and specialty care that meets the growing needs of the communities we serve. Together, Southern New Hampshire Health and Elliot Health System, the founding members of SolutionHealth, are committed to innovative models of care and collaboration that improve the health and well-being of more than half of million residents of our region. We start with committing to do the right thing, for each patient, always. #J-18808-Ljbffr Elliot Health System