Senior Pre-Services Specialist - Richmond
3 days ago

Job summary
The Atlantic Region CBO is seeking a dynamic and talented Senior Pre-Services Specialist.This position involves taking inbound calls, making outbound calls, scheduling patients in SMS and Cerner systems, reviewing resource rooms for authorization purposes, collecting co-pay and deductibles from patients, interpreting managed care contracts, trending payer issues,
Medicare regulations, medical and anatomy terminology, and applying knowledge to the scheduling and registration process.
- Perform Scheduling, Pre-Registration & if needed insurance verification within 24 hours of receipt of reservation/notification for both inpatient & outpatient services
- Contact physician to resolve issues regarding prior authorization or referral forms
- Research patient visit history to ensure compliance with the Medicare 72 hour rule & complete the Medicare Secondary payer questionnaire & ABN as applicable
- Contact patient in a timely & courteous manner to confirm or obtain missing demographic information in Invision PDIX, quote/collect patient payment & instruct patient on where to present at time of appointment.
Job description
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