Position Summary

The Pre Access Specialist III is responsible for accurate and complete insurance verification, authorization, and complete pre-registration when applicable of one or more of the following: Medication authorizations, Genomics Testing, and all scheduled infusions. The position works within the EMR using an automated insurance verification tool along with payer websites and documents within the EMR. This position also works closely with the pharmacy and clinical team to ensure that high dollar drugs are authorized.

Education

• Associates in Business or related field or combination of education and experience. (Required)

Experience

• Experience with EMR, document management/imaging system, or Payer websites platform. (Required)
• 2 Year experience requesting Professional/Clinic or Hospital Authorizations. (Required)
• Experience reviewing and discussing out of pocket liability to patients/guarantors. (Required)
• Minimum of one year customer service experience. (Required)
• Knowledge base and experience with CPT codes, J Codes, and ICD Codes. (Required)
• Experience with reviewing detailed clinical notes. (Required)
• Experience as a Medical Assistant. (Preferred)
• Minimum of one year of medical registration or scheduling experience. (Preferred)

Special Skills

• Must be able to work independently and ability to work effectively in a high-volume, fast paced environment with changing priorities. Must possess customer-focused attitude and professional demeanor. (Required)
• Excellent communication skills (Written and Oral). (Required)
• Knowledge of Medical Terminology and an understanding of HIPAA Privacy Laws (Required)
• Analytical skills with strong attention to detail and a high degree of accuracy. (Required)
• Proficiency with computer based systems. (Required)
• Bilingual (Spanish) (Preferred)

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About Phoenix Children's

For more information about the hospital, visit: http://www.phoenixchildrens.org.

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