Preregistration Specialist

Job Description

Description:

About Jordan Valley Health:

Jordan Valley Health (JVH) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community’s health through access and relationships. By working collaboratively with partners and continually innovating, JVH strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.

Job Summary:

The Preregistration Specialist is responsible for providing accurate and timely preregistration of patients ensuring the smooth flow of revenue within healthcare organizations. By collecting and verifying insurance information upfront, the preregistration team helps minimize claim denials and delays in reimbursement.

Key Responsibilities:

• Verifying patient identity and ensuring all necessary forms are completed accurately.
• Entering patient information into the hospital or clinic's electronic health record (EHR) system.
• Contacting insurance companies to verify patient insurance coverage, including eligibility, benefits, and coverage limitations including frequency.
• Confirming the patient's insurance plan details, such as policy number, group number, and effective dates.
• Determining any required pre-authorizations or referrals necessary for services.
• Communicating with patients regarding their insurance coverage and any potential out-of-pocket costs, such as copayments or deductibles.
• Collaborating with other departments, such as billing and clinical staff, to ensure accurate and timely processing of patient information.
• Communicating effectively with patients to address questions or concerns regarding their insurance coverage or registration process.
• Providing support and assistance to patients who may need help navigating insurance-related issues or financial assistance programs.
• Monitors self-pay accounts, assesses need for internal collection action and connects them with