At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

• The Pre-Service Coordinator is responsible for scheduling diagnostic tests and procedures, verifying insurance information, obtaining pre-certification/authorization, and ensuring that accurate billing information is entered into the scheduling or registration system
• The role involves maintaining communication with patients, physician offices, and internal departments to facilitate efficient scheduling processes while ensuring compliance with regulatory guidelines
• The Pre-Service Coordinator serves as a liaison between patients and the healthcare system to optimize the patient experience and ensure timely access to care

Essential Functions

• Schedule diagnostic tests and procedures in accordance with hospital protocols, ensuring timely and accurate data entry
• Verify insurance information, obtain pre-certification/authorization, and enter information into scheduling and registration systems
• Respond to telephone inquiries from patients, physician offices, and third-party payers, providing accurate information regarding scheduled services
• Maintain open communication with the registration staff to ensure unscheduled patients presenting for services receive appropriate testing
• Assist in the coordination of patient pre-registration processes, including collection of demographic and insurance information
• Document all communication related to pre-certifications, insurance verification, and scheduling updates in the electronic medical record (EMR)
• Maintain knowledge of billing procedures, insurance requirements, and organizational policies to ensure compliance with state and federal regulations
• Provide support in resolving scheduling conflicts, insurance discrepancies, and patient inquiries related to billing and testing
• Collaborate with financial counselors to assist patients with financial assistance screening and payment arrangements as needed
• Cross-train to perform functions in Pre-Reg or Pre-Cert areas to provide coverage as needed
• Perform other duties as assigned by the Patient Financial Services Director

Knowledge/Skills/Abilities/Expectations

• Excellent verbal and written communication skills
• Strong organizational skills with attention to detail and accuracy
• Ability to handle multiple tasks in a fast-paced healthcare environment
• Proficient in Microsoft Office applications (Word, Excel, Outlook)
• Knowledge of medical terminology, insurance verification, and pre-certification processes
• Ability to work independently and collaboratively with other departments

Education

• High School Diploma or equivalent required

License/Certification

• None required

Experience

• 1 year of experience in scheduling, pre-certification, or registration in a healthcare setting
• Knowledge of insurance verification and pre-certification processes preferred