Pre-Service Verification Specialist

Job Summary

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

Key responsibilities

• Monitor and clear work queues by obtaining necessary patient and payer-specific financial clearance elements
• Act as a subject matter expert on insurance requirements for prior authorizations and referrals, facilitating financial clearance processes
• Collaborate with various stakeholders, including patients and providers, to ensure all necessary information and payer permissions are obtained prior to scheduled services

Required qualifications

• High School Diploma or GED required; Associate's degree or higher preferred
• 1-3 years of hospital registration and/or insurance experience, with at least one year in a customer service role
• General knowledge of healthcare terminology and CPT-ICD10 codes; understanding of insurance preferred
• Experience with Epic systems is preferred
• Basic computer proficiency, including Microsoft Suite applications (Excel, Word, Outlook, Zoom)