Pre-Visit Specialist - Call Center *Hybrid Job Waynesboro area,Virginia USA,Healthcare

Position: Pre-Visit Specialist I - Call Center *Hybrid *

Pre-Visit Specialist I - Call Center
* Hybrid *

Job Category: Business Admin

Requisition Number: PREVI
013298

Full-Time
On-site

Locations

Fishersville, VA 22939, USA

Pay or shift range: $17.72 USD to $24.46 USD
The pay range reflects the current compensation range for this position at the time of posting. Individual offers are determined based on directly related experience, skills, education, internal equity, and other job‑related factors. Not all candidates will qualify for the upper end of the posted range.

Description

At Augusta Health, your work matters — and so does your contribution to promoting wellness and healing in our community. This role supports the payment accuracy by ensuring pre‑visit services and scheduling for multiple service lines.

Pre‑Visit Specialist I provides scheduling, pre‑registration, and revenue cycle support, handling pre‑visit revenue cycle services and general information requested by customers. The role includes scheduling appointments, ensuring payer pre‑authorization, informing patients of pre‑procedure requirements, and supporting new hire and remote hybrid work structure.

The position plays a critical role in supporting the department’s goals through measurable performance indicators and service excellence. It involves managing accounts receivable tasks, resolving claim issues, working with physicians and other stakeholders, and monitoring denial trends.

Identify and resolve invalid or missing claim data through communication with physician office practices, hospital departments, compliance, billing support personnel, and other contributors.

Research denied claims to resolve discrepancies and correct claim data for re‑billing.

Generate aging reports in the billing system, scrub unclean claims promptly, and follow up on unresolved claims with third‑party payers and patients.

Troubleshoot issues to ensure timely resolution, maintain knowledge of payer standard transaction sets, including 837, 835, and electronic fund transfer processes.

Provide regular feedback to management regarding payer issues, provider office issues, and any delays that could impact payment.

Monitor trends, keep informed of new federal and state billing regulations, and report issues to leadership.

Meets productivity standards related to quantity and quality of work. Other duties as assigned by the Hospital and Physician Billing Manager or Patient Accounting Director.

Requirements

Education: High School Diploma or GED

Licensure/Certification: N/A

Experience: None

Driver’s License: N/A

Eligibility to work in the United States and meet Virginia state employment requirements.

Preferred Qualifications

Certification through AAHAM, AAPC, HFMA or other nationally recognized revenue cycle association is desired; can be obtained on the job.
Medical or accounting experience.
Knowledge of third‑party and governmental billing/collection techniques.
Prior experience in a hospital, healthcare system, or related service‑oriented environment.
Familiarity with Augusta Health’s systems, workflows, or organizational culture is a plus.

Competencies, Knowledge,

Skills and Abilities

Excellent computer and communication skills.
Adaptable to change.
Ability to problem solve.
Strong time management.
Experience with Microsoft Office.
Proactively prioritize needs.
Articulate knowledge and understanding of organizational policies, procedures, and systems.
Work closely and professionally with all other staff.
Seek to model process improvement.
Identify and report potential issues at time of discovery.

Benefits

Comprehensive insurance package (medical, dental, vision).
Retirement savings plans and financial wellness support.
Generous paid time off and flexible scheduling.
Career development programs.
Personalized onboarding and ongoing educational…