Patient Engagement Specialist (Code: OLHAAPEA)

• Accurately collect and enter patient information into the system.
  
• Verify patient demographics, insurance coverage, and eligibility.
  
• Ensure compliance with registration policies and procedures.
  
• Provide excellent customer service to patients during the registration process.
  
• Collaborate with other departments to resolve any registration-related issues.
  

• Collect patient co-payments, coinsurance, and deductibles at the time of service or through follow-up communications.
  
• Send out monthly statements to patients, detailing their outstanding balances and payment options.
  
• Conduct patient collection calls to remind and assist patients in resolving their financial obligations.
  
• Assist patients in setting up payment plans and provide guidance on available payment methods.
  
• Ensure patient payment information is securely processed through systems like Stripe.
  
• Maintain accurate and up-to-date records of patient payments and collections.
  

• Verify insurance coverage and benefits for patients.
  
• Ensure accurate and complete eligibility verification.
  
• Identify any pre-authorization requirements and assist in obtaining them.
  
• Communicate insurance-related information to patients and other departments.
  
• Work closely with insurance companies to resolve eligibility issues or discrepancies.
  

• Review medical documentation and treatment plans to determine pre-authorization requirements.
  
• Submit pre-authorization requests to insurance companies.
  
• Follow up on pending or denied pre-authorizations and work to resolve them.
  
• Maintain accurate records of pre-authorization status and documentation.
  
• Collaborate with healthcare providers and insurance companies to ensure timely approvals.
  

• Serve as a point of contact for patients regarding registration, insurance, and pre-authorization inquiries.
  
• Provide clear and concise explanations of processes, requirements, and next steps to
  
• patients.
  
• Address patient concerns, questions, and complaints promptly and professionally.
  
• Collaborate with other departments to ensure coordinated and efficient patient care.
  

• Identify opportunities to streamline and enhance patient engagement processes.
  
• Propose and implement improvements to optimize registration, insurance verification, and pre-authorization workflows.
  
• Collaborate with cross-functional teams to enhance the overall patient experience.
  

Requirements

• High school diploma or equivalent additional healthcare-related certifications or education is a plus.
  
• 2-3 years previous experience in patient registration, eligibility verification, or pre-authorization.
  
• Knowledge of medical terminology, insurance plans, and billing processes.
  
• Strong communication and interpersonal skills.
  
• Attention to detail and accuracy in data entry and documentation.
  
• Ability to handle confidential patient information with discretion.
  
• Proficient computer skills, including experience with electronic medical records and registration systems.
  
• Ability to work independently and collaboratively in a fast-paced environment.
  

Benefits