Patient Pre-Services Representative
- Role
- Support
- Experience
- Mid
- Employment
- Full-time
- Company size
- Enterprise
Open to US only. Set where you work from to check your eligibility.
No BS summary
Remote US-based patient access specialist for pre-service financial clearance. Requires 2–3 years paid experience in patient access/registration/insurance verification or equivalent. Full-time remote role for Kentucky (US) candidates.
Core skills
Required skills
The University of Kentucky uses equivalencies in determining if a potential applicant meets the minimum education and experience factors resulting from the job analysis process. For example, if a position is listed on the Job Opportunities Bulletin requiring a bachelor degree plus 2 years of experience, the following applicants could potentially meet the minimum education and experience requirements of the position:
- Masters degree and no experience in the field
- Bachelor’s degree and 2 years experience in the same field.
- Associates degree and 4 years experience in the same field.
- 6 years of experience in the same field
Even though an individual may meet the minimum requirements, the hiring official can require additional education, experience, etc. and in many cases the most qualified applicants and successful applicants have education and experience above and beyond the minimum requirements.
In evaluating equivalencies, the following general guidelines apply:
Education
Degrees:
Must have met all requirements for completion of the degree program.
- Doctoral degree = Master degree + 3 years
- ABD (all but dissertation) = Masters degree + 2 years
- JD (Jurist Doctorate) = Masters degree + 1 year
- Masters degree = Bachelors degree + 2 years of experience in the same field
- Bachelors degree = associates degree + 2 years of experience in the same field
- Associates degree = 2 years of experience in the same field
- Vocational/Technical/Trade Schools 12 months = 1 year
Credit hours:
- Undergraduate:
- 30 hours = 1 year of experience
- 60 hours = 2 years of experience
- 90 hours = 3 years of experience
- Graduate:
- Completion of required hours (usually 15 or 18 hours) = 1 year of experience
Experience
Full-time:
- All experience must be in the same field to be counted
- Paid experience is only counted (no volunteer work)
- Internships are not counted if education credit is earned
Part-time:
- 35+ hours worked per week - Full credit
- 28-34 hours worked per week - 75% credit
- 18-27 hours worked per week - 50% credit
- 9-17 hours worked per week - 25% credit
- <9 hours worked per week - No credit given
What you'll do
- Maintains a worklist of pre-service complex registration and RTE kickouts.
- Verifies insurance benefits and shares information with authorization team for resolution through authorization workflows and partnerships with clinical teams.
- Reviews and validates the accuracy of registration data, ensuring corrections are made to enable financial clearance and check-in efficiency.
- Contacts patients, payers, financial counselors and authorization coordinators to collect or clarify information such as insurance coverage or financial responsibility.
- Documents communications, tracks responses, and updates patient account records with accuracy and attention to detail.
- Meets departmental KPIs related to pre-service clearance, pre-registration accuracy, and patient satisfaction.
- Collaborates with clinical, scheduling, billing, and revenue cycle teams to ensure seamless information flow and patient access efficiency.
- Participates in departmental meetings and improvement initiatives aimed at enhancing pre-registration and financial clearance processes.
- Perform other duties as assigned.
What they require
- High school diploma or equivalent.
- 2–3 years of experience in patient access, registration, insurance verification, billing, revenue cycle operations or payer related field.
- An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.
- Any candidate offered a position may be required to pass pre-employment screenings (national background check and/or drug screen).
Benefits
- University of Kentucky Tobacco & Drug Free campus and workplace well-being emphasis
- Equal opportunity employer nondiscrimination statements (institutional policies)
We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live.