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Pre-Service Specialist

Company Name:
Saint Alphonsus Health System
High School Diploma/GED
Please Note: While this position is located in Ontario (Oregon), there may be an opportunity for the successful candidate to work from another location (Boise, Nampa, etc.) dependent upon business need .
GENERAL SUMMARY AND PURPOSE:
The Pre-Service Specialist is responsible for scheduling patients for services at Saint Alphonsus Health System (SAHS) facilities; performing insurance verification to determine benefits and patient liability; notifying patients of their appointments and financial obligations for their scheduled services; and ensuring appropriate financial counseling and payment options have been presented to the patient prior to services being rendered. Deliver exceptional quality and service to all patients and other customers through a constant pursuit of excellence and respect for every individual. Foster an environment of participation, teamwork, and professional growth. Collaborate with multiple departments to best utilize equipment, staff and other resources while accommodating physician preference and patient needs, consistent with Saint Alphonsus Health System's values and missions.
SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:
1. High School Diploma or equivalent required.
2. 2-3 years' experience as a Preservice Specialist or Scheduler.
3. Exceptional attention to detail and critical thinking skills.
4. Exhibits the ability to coordinate effectively in an organized professional, principled and empathetic manner.
5. Demonstrates ability to efficiently organize work and maintain a high level of accuracy and productivity
6. Exceptional communication skills.
7. Excellent customer service skills necessary to interact with patient/physicians to maintain and promote positive relationships.
8. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
ESSENTIAL FUNCTIONS:
1. Meets system's Guiding Behaviors and Caring including interpersonal communication and professional conduct expectations.
2. Meets or exceed established customer service, productivity and quality standards in all essential functions.
3. Collaborate with designated departmental clinical contracts to facilitate add-on/emergent procedures, guidance for any questionable or unusual request, and interactions necessary to resolve resource conflicts that may necessitate scheduling changes or authorization to override schedule.
4. Mentors positive attitude towards hospital and department policies and procedures.
5. Excels in development new and revised of policies and procedures.
6. Excels in working audit and productivity reports to help maintain department standards and accuracy.
7. Maintains a positive relationships with all parties
8. Communicates with Case Management (CRM) staff to facilitate the identification of accounts needing review for authorized days.
9. Processes daily department reports to maintain department insurance verification standards.
10. Exhibit proficiency in document imaging: scanning and attaching necessary documents to patient accounts to assure the ability to collect authorization, clinical information, and payment for all services provided. Use scanners, auto fax, and document imaging features proficiently.
11. Foster a team environment by involving Continuous Quality improvement. Promote teamwork by keeping others informed; exhibiting effective group decision-making participation while working to accomplish team objectives and projects. Seeks feedback about ones' effectiveness as a team member.
12. Works department reports and does timely entry of department benchmarking metrics as defined by supervisor.
13. Replaces supervisor in his/her absence
Department: Patient Registration
Schedule: Full Time
Shift: Days
Hours: 8a-430p

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