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Pre Access Specialist
St. Elizabeth Healthcare. Schedule and/or pre-register outpatient procedures and appointments via telephone, fax requests, or CPOE work queues .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient registration processes, including eligibility and benefit analysis, insurance verification, and appointment scheduling. Strong focus on customer service, confidentiality, and collaboration with healthcare teams.
Highest-signal resume keywords
Patient RegistrationEligibility And Benefit AnalysisInsurance VerificationCustomer ServiceData Entry
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Appointment SchedulingPre-RegistrationInsurance VerificationData EntryTyping SkillsCPOEBenefit AnalysisAuthorization ProcessesFax Order ReviewRecord Updating
Soft Skills
Interpersonal SkillsOrganization SkillsCommunication SkillsCustomer Service SkillsPrioritization Skills
Tools & Technologies
Microsoft WordMicrosoft ExcelTrace
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Patient ConfidentialityQuality ImprovementRevenue CycleHealthcareClaims Denial Resolution
About the role
Key responsibilities & impact- Schedule and/or pre-register outpatient procedures and appointments via telephone, fax requests, or CPOE work queues
- Obtain accurate patient demographic, insurance, and clinical information
- Perform appointment triage and provide exam preparation instructions
- Complete pre-registration, eligibility and benefit analysis, insurance verification, and authorization processes
- Review and index incoming fax orders in Trace
- Provide clinical and demographic information to insurance companies via web or phone
- Document authorization numbers and valid dates
- Monitor payer protocol and authorization requirement changes
- Perform eligibility and benefit analysis for admissions, surgeries, and observation services
- Update registration records according to standard policies and procedures
- Collaborate with departments, referring offices, physicians, payers, financial counseling, Quality Management, PFS, and Revenue Cycle
- Complete retro-authorization requests and support claims denial resolution
- Complete point-of-service collections and document accounts appropriately
- Maintain patient confidentiality and deliver courteous customer service
- Participate in quality improvement, meetings, webinars, and other assigned duties
Requirements
What you’ll need- High School Diploma or GED
- 1-year experience in call center, office, healthcare, or other team-oriented setting
- PC skills, including Word and Excel
- Strong interpersonal and organization skills
- Proven track record of excellent customer service skills
- Good typing skills / data entry skills
- Excellent communication skills (both written and verbal)
- Ability to maintain patient confidentiality
- Organization and prioritization skills
- Required to attend monthly staff meetings, with possible evening or weekend hours
- Responsible for completing annual hospital and department educational requirements
- Adhere to policy and procedures of St. Elizabeth Healthcare
Benefits
Comp & perks- Competitive pay and comprehensive health coverage within the first 30 days
- Generous paid time off and flexible work schedules
- Retirement savings with employer match
- Tuition reimbursement and professional development opportunities
- Wellness, mental health, and recognition programs
- Career advancement through mentorship and internal mobility