Pre-Reg Pre-Cert Specialist Lead

Position Summary / Career Interest:

The Pre-Registration Pre-Certification Specialist Lead is responsible for supporting the supervisor with the identification of patients who qualify for pre-registration to include all new patients and all return patients. This position serves as a resource and provides training to staff in collaboration with supervisor. The Pre-Registration Pre-Certification Specialist Lead assists staff to obtain proper identification to assure accuracy of demographic and insurance information and enters all information into the registration system.


Responsibilities and Essential Job Functions

• Performs responsibilities of the Pre-Registration/Pre-Certification Specialist.
• Assists staff daily with RTE technology in EPIC related issues.
• Assists in training new hire orientation and continued training for pre-reg/pre-cert specialists.
• Subject matter expert in pre-certification and pre-registration, advises specialist with escalations and problem solutions.
• Escalates RTE technology in EPIC issues through experian via HITs tickets to ensure accurate eligibility responses.
• Adds and identifies complex coverage issues.
• Works Work Queue’s when staff are on PTO or out (as needed)
• Assists supervisor with Daily Call Log.
• Assigns accounts when Pre-Registration Supervisor is out.
• Maintains real time authorization database
• Works on Virtual Registration Admin Work Queue
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• High School Graduate or GED.
• 3 or more years of experience admitting/patient registration, pre-registration & pre-certification, or patient accounting experience.
• 2 or more years of customer service experience.

Preferred Education and Experience

• 4 or more years of experience working in Epic.

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.