Pre-Reg Pre-Cert Specialist

Position Title Pre-Reg Pre-Cert SpecialistRemote Position Summary / Career Interest: The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients. This position obtains identification to assure accuracy of demographic and insurance information and enters all information into the registration system. The Pre-Reg/Pre-Cert Specialist is responsible for pre-service collections and documentation when applicable. This role is responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits. For all sponsored admissions, will contact patients' employer and/or insurance company to verify coverage and benefits, obtain benefit level, patient liability, billing address. Responsibilities and Essential Job Functions Works reports daily according to duty specifications to retrieve all un-contacted patients prior to service. Utilizes worklists to pre-register / pre-certify hospital services. Conducts telephone interviews as needed with patients to elicit demographic information and third-party payer data that will be needed for billing purposes. Enters patient data directly into registration systems. Ensures that MSPQ is completed when appropriate. Verifies with third party payor dependent eligibility, certificate and group numbers, co-payment and deductible amounts, statement mailing address, etc. Complies with Medicare / Medicaid an