Preservice Specialist

Join to apply for the Preservice Specialist I role at Nuvance Health
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Facilitates patient flow through the referral, scheduling, and financial clearance process. Responsible for obtaining demographic and financial information to ensure accurate patient identification and to secure reimbursement. Performs pre-registration functions and insurance eligibility verification. Provides estimates for services and requests and secures payments.

• Schedule patients for hospital or medical group services by incoming phone calls, online requests, or outbound to patients; assign to work within the central referral management system to identify and schedule specialist and primary care referrals to NHP practices and external providers to promote in-system retention and continuity of care.
• Provide excellent customer service to physician offices and patients; contribute to reduction of abandoned call rate, call length, and average speed answered through best practices and workflow improvements.
• Receive and verify faxed physician orders for compliance and accuracy; perform insurance eligibility verification and execute payer requirements; obtain accurate insurance benefit information from payers.
• Use patient estimation tool to calculate patient liability estimates; understand coding, procedural protocols, and charge description master.
• Initiate requests for authorizations, pre-certifications, notices of admission, and referrals from insurance companies; follow up with payers and providers to ensure authorizations are in place.
• Contact patients to perform pre-registration: demographic verification, convey insurance benefits, and estimate liabilities; collect liabilities prior to service and refer patients expressing financial hardship to Financial Counseling.
• Safeguard patient confidentiality by adhering to all compliance guidelines in place; fulfill all compliance responsibilities related to the position.
• Perform other duties as assigned.

• High school diploma required; minimum of 2‑year job‑related experience.
• National Association of Healthcare Access Management (NAHAM) certification within one year of hire.
• Basic proficiency with MS Word and MS Excel; customer service and organizational skills.
• Associate’s degree preferred with 6 months job‑related experience.

• Manual: requires some manual skills, motor coordination, and finger dexterity.
• Occupational: little or no potential for occupational risk.
• Physical effort: sedentary/light effort; may exert up to 10 lb force.
• Physical environment: generally pleasant working conditions.
• Salary range: $19 – $25 hourly.
• Company:
  Nuvance Health Med Practice PC.
• Department: HQMP Connect.