Preregistration Specialist II

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough, heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Finance The Pre-Registration Specialist II reports to the Supervisor of Financial Clearance and possesses specialized knowledge of insurance plans and policies to resolve complex patient accounts and inquiries. The Specialist ensures all financial obligations are communicated to patients clearly, updates accounts, and details obligations to ensure expeditious processing of patient accounts in advanced practice based settings and outpatient hospital departments. This position reviews and works the authorization report to track and determine which accounts still need authorizations to be obtained, accurately identifies primary and secondary payers, relays relevant financial information (e.g., price estimates and payment plan options) in a clear and patient-friendly manner, works collaboratively with scheduling, financial counseling, and registration staff to minimize patient wait times on the day of service, and assists with training and mentoring staff according to the organization’s training programs. Responsibilities Obtains and documents specific details related to financial clearing patients in advance of service, including demographic, insurance, referrals, authorizations/pre-certification (if necessary). Certifies patient demographic, insurance, and financial data collected during scheduling and pre-registration activities. Appropriately collects and sets payment arrangements with patients or their representative, scheduling payments on deposits due, and screens patients for enrollment in available credit option programs. Effectively communicates with payer to determine extent of coverage and other limitations or co-payments provisions, maintaining knowledge of each payer’s requirements for verifying insurance and obtaining pre-authorizations/pre-certifications. Documents all information obtained during pre-registration activities, identifies uninsured and underinsured and low-income patients, and refers them to financial staff who can help with financial assistance options prior to the patient visit. Education or Equivalent Experience H.S. Diploma/GED (Required) Education Specialization: Equivalent Experience 5+ years’ work experience in Patient Access or Medical Billing (Required) We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. #J-18808-Ljbffr Penn Medicine, University of Pennsylvania Health System