Patient Engagement Specialist

Patient Engagement Specialist

Duties and Responsibilities:

Patient Registration

• Accurately collect and enter patient information into the system.
  

• Verify patient demographics, insurance coverage, and eligibility.
  

• Ensure compliance with registration policies and procedures.
  

• Provide excellent customer service to patients during the registration process.
  

• Collaborate with other departments to resolve registration -related issues.
  

Eligibility Verification

• Verify insurance coverage and benefits for patients.
  

• Ensure accurate and complete eligibility verification.
  

• Identify pre -authorization requirements and assist in obtaining them.
  

• Communicate insurance -related information to patients and internal teams.
  

• Work closely with insurance companies to resolve eligibility issues or discrepancies.
  

Pre -Authorization Management

• Review medical documentation and treatment plans to determine pre -authorization requirements.
  

• Submit pre -authorization requests to insurance companies.
  

• Follow up on pending or denied pre -authorizations and work to resolve them.
  

• Maintain accurate records of pre -authorization status and documentation.
  

• Collaborate with healthcare providers and insurance companies to ensure timely approvals.
  

Patient Communication and Support

• Serve as a point of contact for patients regarding registration, insurance, and pre -authorization inquiries.
  

• Provide clear and concise explanations of processes, requirements, and next steps to patients.
  

• Address patient concerns, questions, and complaints promptly and professionally.
  

• Collaborate with other departments to ensure coordinated and efficient patient care.
  

Process Improvement

• Identify opportunities to streamline and enhance patient engagement processes.
  

• Propose and implement improvements to optimize registration, insurance verification, and pre -authorization workflows.
  

• Collaborate with cross -functional teams to enhance the overall patient experience.
  

Requirements

Qualifications:

• 1–3 years of experience in patient registration, healthcare operations, or medical administrative support.
  

• Knowledge of insurance verification, eligibility checks, and pre -authorization processes.
  

• Strong attention to detail and commitment to data accuracy.
  

• Excellent written and verbal communication skills with a patient -focused mindset.
  

• Ability to handle multiple tasks in a fast -paced, deadline -driven environment.
  

• Proficiency with electronic health record (EHR) systems, patient management software, and Microsoft Office or Google Workspace.
  

• Strong problem -solving skills and ability to identify process improvements.
  

• Ability to collaborate effectively with cross -functional teams, including clinical, administrative, and insurance departments.
  

• Professional demeanor with excellent customer service skills.
  

• Familiarity with HIPAA regulations and handling confidential patient information is a plus.
  

Benefits

Benefits

• Great Place to Work–Certified company
  

• Premium HMO coverage
  

• Holistic employee experience programs
  

• Rewards and performance incentives
  

• Monthly engagement activities
  

• Career advancement opportunities
  

• Paid referral program