Pre-Service Center Specialist

Job Summary

To support the Revenue Cycle Patient Access team, the full-time remote Pre-Service Center Specialist will coordinate financial clearance activities, including patient demographic validation, insurance verification, and obtaining referral authorizations to ensure timely access to care and maximize hospital reimbursement.

Key responsibilities

• Monitor and clear work queues by obtaining necessary financial clearance elements in accordance with management guidelines
• Act as a subject matter expert in navigating payer policies to secure required authorizations and referrals for scheduled care
• Collaborate with patients, providers, and staff to resolve financial clearance issues and ensure all necessary information is documented accurately

Required qualifications

• High School diploma or equivalent required; additional certifications or completion of Revenue Partners training preferred
• At least one year of registration experience with advanced knowledge of insurance payers and requirements
• Strong understanding of healthcare insurance, terminology, and coding (CPT/ICD-10)
• Experience with Epic preferred, including proficiency in Epic workqueues
• Advanced computer proficiency, including Microsoft Office and data entry/interpretation skills