The Lead Pre Access Specialists primary purpose is to oversee the Pre Access staff and process. This position reports to the Pre Access Supervisor. This position will also be responsible for the accurate and complete pre-registration, insurance verification and authorization of scheduled professional and hospital services across all services. The lead is expected to have an understanding of various divisions and protocols for each division.

• Prepares daily and weekly reports that drive workflow within the department and leadership reports as needed.
  
• Contacts the patient's parent/responsible party by phone and obtains all current demongraphic and insurance and employer information, making updates and creating accounts in the AMPFM/Misys system, as appropriate. (Employer changes within last 60 days will be documented.)
  
• Courteously answers the telephone and answers all questions in a timely manner. Refers uninsured and underinsured patients to the Financial Counselor via phone transfer and/or work queue assignment.
  
• Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, coworkers and management to promote teamwork, cooperation and a positive public image for PCH.
  
• Notifies the patient/guarantor of any applicable deductible, copay, annual maximum, previous unpaid liabilities in AMPFM/Misys and other out of pocket expenses and request payment.
  
• Obtains all necessary authorizations for scheduled professional and hospital procedures and office visits and accurately documents all information in the appropriate fields and/or account notes.
  
• Organizes, prioritizes and reviews daily work activity to ensure that complete, accurate and compliant pre-registration has been performed.
  
• Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
  
• Verifies insurance benefits using Emdeon, insurance carrier websites or by phone and accurately documents all information in the appropriate fields and/or account notes.
  
• Performs miscellaneous job related duties as requested.
  

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable