Preregistration Specialist- Dermatology

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Entity: Clinical Practices of the University of Pennsylvania (CPUP)

Department: Dermatology

Location: 3535 Market Street, Philadelphia

Hours: Full-Time

Summary:

• The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual possesses an in-depth knowledge of insurance plans and policies in regard to financially clearing inpatient and outpatient based procedures. The Pre-Registration Specialist is responsible for insurance verification, benefit obtainment, and precertification for all HUP scheduled outpatient surgical procedures and inpatient admissions via telephone and online tools. The incumbent is also responsible for informing patients of any and all out-of-pocket expenses, including copays, coinsurances, and deductibles with the intent to collect and document these financial liabilities. The incumbent will work collaboratively with scheduling, financial counseling, and registration staff members to ensure patient wait times are minimized on the day of service. This individual participates and assists with training and mentoring staff members according to the organization's training programs.

Responsibilities:

• Obtains and documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email
• Obtains information to complete Medicare Secondary Payer Questionnaire and other payer specific documents as required
• Certifying patient demographic, insurance, and financial data collected during scheduling and pre-registration activities
• Appropriately collects and/or sets payment arrangements with patients or their representative, scheduling payments on deposits due, which may include screening of patients for enrollment in available credit option programs.
• Effectively communicates with payer to determine extent of coverage and other limitations or co-payments provisions. Maintains knowledge of and complicates with each payer's requirements for verifying insurance and obtaining pre-authorizations/ pre-certifications
• Documents all information obtained during pre-registration activities. Identifies un-and underinsured and low-income patients; refers them to staff who can help with financial assistance options and other arrangements prior to patient visit
• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
• Other duties as assigned to support the unit, department, entity, and health system organization

Education or Equivalent Experience:

• H.S. Diploma/GED (Required)
• 3 years' work experience in Patient Access, Medical Billing, and/or Customer service (Required)
• Associate of Arts or Science (Preferred)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

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We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.