Northwestern Medicine · 5 hours ago
Pre-Service Specialist- Fertility Reproductive Full Time
Geneva, IL
Full-time
Onsite
Entry Level
1+ years expNorthwestern Medicine is a leader in the healthcare industry focused on providing a positive workplace and patient-first approach. The Pre-Service Specialist will be responsible for scheduling and pre-registering patients, managing insurance information, and ensuring compliance with hospital standards while delivering high-quality customer service.
Emergency MedicineHealth CareHospitalMedicalNutritionRehabilitation
Responsibilities
Politely and promptly answers and appropriately triages department telephone calls in an efficient, professional manner
Correctly identifies and collects patient demographic information in accordance with hospital standards
Schedules appointment in centralized scheduling system, in accordance with AIDET service standards using scripted language for greeting the caller, reviewing the scheduling activity and summarizing the transaction at the end of the call
Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere
Is proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information and documenting order retrieval in notes for check-in person
Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. Collects authorization numbers in appropriate systems as applicable
Proactively obtain Email addresses and help enroll patients in Patient Portal
Interacts with various hospital departments and physician’s offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner
Utilizes multiple online order retrieval systems to verify or print the patient’s order
Reach out to patients to schedule an appointment as defined
When necessary, requests interpreter services for patient’s visit with Patient Representative Department. Utilizes the language line of the hospital to schedule patients who require interpretation service
Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system
Understands departmental and individual quality metrics, including– abandonment rates, average answer delay, RONA, AIDET scorecard, quality reviews, and not ready %
Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails
Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions
Completes Check-in process including confirming identity, offering MyChart enrollment, obtaining signatures, colleting co-pay/deposit/outstanding balances, validating parking, distributing office specific forms to fill out
Completes Check-out process including scheduling/coordinating requested follow-up appointments, printing AVS for non-MyChart patients and answering patient’s questions
Responds to questions and concerns. Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary
Evaluates procedures and suggests improvements to enhance customer service and operational efficiency
Verifies insurance eligibility and benefit levels through the use of online clearinghouse tools (NDAS, ASF, etc.) or over the phone as necessary
Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, worklists, and direct phone calls as necessary
Ensures that outpatient procedures have a valid ICD-9 code, and that for Medicare patients, medical necessity has been met. Communicates with physician offices to troubleshoot failing medical necessity for Medicare patients
Informs patients of any issues with securing the financial account for their encounter
Completes out-of-pocket estimations as requested by patients
Provides professional and constructive environment for communication across units/departments and resolves operational issues. May attend intra/interdepartmental meetings which involve walking within NM Campus
Provides training and education as needed
Completes other duties assigned by manager. Cross-training between various departments may take place to ensure coverage
Communicates customer satisfaction issues to appropriate individuals
Participates in departmental quality improvement activities
Provides ideas and suggestions for process improvements within the department
Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards
Adjusts processes as needed to meet standards
Participates in Quality Assurance reviews to ensure integrity of patient data information
Qualification
Required
High School diploma
1-2 years customer service experience
Proficient in typing
Preferred
Bachelor's degree
Healthcare Finance and/or Healthcare Insurance Knowledge
Experience in a healthcare setting, especially patient scheduling and/or registration
Coding Certification
Certified Healthcare Associate Designation (NAHAM)
Benefits
Tuition reimbursement
Loan forgiveness
401(k) matching
Lifecycle benefits
Company
Northwestern Medicine
Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine around a strategic vision to transform the future of health care.
10001+ employees
H1B Sponsorship
Northwestern Medicine has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (75)
2024 (66)
2023 (70)
2022 (78)
2021 (35)
2020 (39)
Funding
Current Stage
Late StageTotal Funding
$25M2018-06-26Grant· $25M
Leadership Team
Howard Chrisman, MD
President and CEO
John A. Orsini, CPA
Senior Vice President and Chief Financial Officer
Recent News
2026-01-13
Near North Health
2025-12-01
Company data provided by crunchbase