Pre-Certification I

3 months ago

Miamisburg, United States Kettering Health Full time

Overview:

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether its by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Campus Overview:

Kettering Health Miamisburg

  • Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.
  • Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.
  • The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care.
  • Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning.
  • 142 bed facility
  • Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.
  • In 2020, KH Miamisburg received an A from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
  • Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
  • KH Miamisburg received several awards from Healthgrades:
    • Outstanding Patient Experience Award (2017-2019)
    • Americas 100 Best Hospitals for Prostate Surgery Award (2020)
    • Joint Replacement Excellence Award (2020)
Department Overview:

JOB SUMMARY:

This network-wide position, under the direction of the Pre-Access Manager, Kettering Health, is responsible to facilitate the patient intake process by obtaining and validating precertifications on scheduled outpatient services, sleep studies, radiation oncology, elective scheduled surgeries and/or additional services as needed. The Representative reviews insurance verification and obtains/validates precertification information when required at each encounter to ensure accurate and complete billing. This highly visible position must be aware of the importance and impact this position has on KH denial and public relations. The representative provides exceptional customer service to our patients, providers and all other departments and is always expected and required to be exhibited

  1. Demonstrates through behavior Kettering Healths mission, vision and services standards as outlined in the organizations training.
  2. Maintain competence and use critical thinking skills to promptly resolve consumer inquires within assigned functional area(s).
  3. Demonstrates successfully to resolve customer inquiries
  4. Adhere to all established workflows, scripting, and department greetings
  5. Create delightful customer experience by setting proper expectations and consistently following through with end- users
  6. Documents all interactions and consistently update consumer records in the relevant technology system(s)
  7. Demonstrates appropriate customer-care skills such as empathy, active listening, courtesy, politeness, helpfulness and other skills as identified to a variety of customers including consumers, clinic staff, physicians, Pre-Access colleagues, and leaders
  8. Achieves individual key department performance objectives such as quality assurance and productivity.
  9. Maintain knowledge of Pre-Access and Kettering Health offerings to provide exceptional services
  10. Handle sensitive matters courteously and with professionalism. When appropriate, escalate with leadership for proper awareness and/or resolution.
  11. Adhere to department policies and procedures and HIPAA regulations
  12. Perform other duties as assigned by department leaders
Responsibilities & Requirements:
  1. Ability to articulate the mission of Kettering Health and Pre-Access
  2. Strong attention to detail and ability to take initiative to resolve inquiries and issues
  3. Demonstrated personal commitment to promoting and providing excelled customer service
  4. Demonstrated interpersonal, customer relations, and communication skills; remains patient while interacting with consumers and colleagues
  5. Exhibits desire to continuously learn, improve service delivery, and work in a team environment
  6. Ability to listen and document notes simultaneously
  7. Ability to read, analyze, and interpret verbal and written instruction
  8. Maintains high energy and positive attitude
  9. Ability to remain calm under pressure
  10. Adapts to change and balances multiple priorities in a fast-paced environment
  11. Demonstrates regular, consistent and punctual attendance
  12. Effective communicator in English, both orally and in writing
  13. Computer Proficiency: Microsoft Office Suite programs and basic keyboard typing skills
  14. Technological aptitude to accomplish additional programs and technologies, including CRM, telephony, electronic health records, and other potential systems


Preferred Qualifications:
  • High school diploma required
  • One-year customer service experience required.
  • Previous registration/medical/billing office experience preferred.
  • Demonstrated competency in working in teams and ability to effectively communicate with all levels.
  • Proficient in computer skills and phone skills.
  • Ability to function in high paced often stressful environment and/or circumstances while maintaining a respectful, caring and professional manner.
  • Must have the ability to perform as a collaborative team member.
  • Able to understand and maneuver through clinical documentation in EPIC and payer portal

  • Pre-Certification Specialist

    2 weeks ago

    Miamisburg, Ohio, United States Kettering Health Full time

    {"Responsibilities & Requirements": "Key ResponsibilitiesAs a Pre-Certification Specialist at Kettering Health, you will be responsible for ensuring that patients receive the necessary pre-certification and authorization for their medical procedures. This involves working closely with patients, physicians, and insurance providers to gather and verify...

  • Pre-Certification I

    3 months ago

    Miamisburg, United States Kettering Health Full time

    Overview: Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether its by providing care in our facilities, training...

  • Assembler I

    3 weeks ago

    Miamisburg, Ohio, United States Excelitas Technologies Full time

    Assembler I Job DescriptionExcelitas Technologies is seeking a skilled Assembler I to join our team in Miamisburg, Ohio. As an Assembler I, you will play a critical role in the assembly of electronic components, subassemblies, products, or systems.Key Responsibilities:Perform assembly tasks, including soldering, potting, encapsulating, sanding, cleaning,...

  • Assembler I

    4 days ago

    Miamisburg, Ohio, United States Excelitas Technologies Full time

    Assembler I Job DescriptionExcelitas Technologies is seeking a skilled Assembler I to join our team in Miamisburg, Ohio. As a key member of our Defense and Aerospace Business Unit, you will play a critical role in the design, manufacture, and test of energetic safety systems.Responsibilities:Assemble electronic components, subassemblies, products, or systems...

  • Assembler I

    2 weeks ago

    Miamisburg, Ohio, United States Excelitas Technologies Full time

    Assembler I Job DescriptionExcelitas Technologies is seeking a skilled Assembler I to join our team in Miamisburg, Ohio. As a key member of our Defense and Aerospace Business Unit, you will play a critical role in the design, manufacture, and test of energetic safety systems.Responsibilities:Perform assembly tasks, including soldering, potting,...

  • Assembler I

    1 week ago

    Miamisburg, United States Excelitas Technologies Corp Full time

    ENABLE your future through light. Excelitas is a global technology leader with more than 7,500 employees, focused on delivering market-driven solutions to fulfill the illumination, optical, detection and imaging needs of OEMs and end-users across the biomedical, semiconductor, industrial, consumer products, scientific, security, defense and aerospace...

  • Assembler I

    4 weeks ago

    Miamisburg, Ohio, United States Excelitas Technologies Full time

    Job SummaryExcelitas Technologies is seeking a skilled Assembler I to join our team in Miamisburg, Ohio. As an Assembler I, you will be responsible for assembling electronic components, subassemblies, and products to meet production standards.Key ResponsibilitiesAssemble electronic components, subassemblies, and products using various techniques such as...

  • Patient Registration I

    4 months ago

    Miamisburg, United States Kettering Health Full time

    Overview: Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether its by providing care in our facilities, training...

  • Assembler I

    1 week ago

    Miamisburg, United States Excelitas Technologies Full time

    ENABLE your future through light.Excelitas is a global technology leader with more than 7,500 employees, focused on delivering market-driven solutions to fulfill the illumination, optical, detection and imaging needs of OEMs and end-users across the biomedical, semiconductor, industrial, consumer products, scientific, security, defense and aerospace...

  • Assembler I

    4 weeks ago

    Miamisburg, Ohio, United States Excelitas Technologies Full time

    Job SummaryExcelitas Technologies is seeking a skilled Assembler I to join our team in Miamisburg, Ohio. As an Assembler I, you will play a critical role in the design, manufacture, and test of energetic safety systems, including electronic safe, arm, and fire (ESAF) devices and firing modules (FMs), ignition safety devices (ISDs), custom energetics, and...

  • Nursing Assistant

    4 weeks ago

    Miamisburg, United States Kettering Medical Center Network Full time

    Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training...

  • Intake Specialist- PRN Day Shift

    4 weeks ago

    miamisburg, United States Haven Behavioral Healthcare Full time

    Job Description Mental Health Intake Specialist.Hours: PRN Day Shift (7a-7p)Why Haven of Dayton?   Haven Behavioral Hospital of Dayton is a 59-bed facility providing high-quality, specialty behavioral health services for individuals with mental health and substance abuse issues. Our success is a reflection of the excellence and dedication of our employees...

  • Director of Food Services

    2 weeks ago

    Miamisburg, United States Healthcare Services Group Full time

    Overview: Healthcare Services Group (HCSG) has been providing housekeeping, laundry, dining, and nutritional services in the healthcare market for over 45 years. The company values integrity, collaboration, empowerment, passion, and perseverance. They are currently seeking a Director of Food Services to join their team. Responsibilities: Managing the food...

  • State Tested Nursing Assistant

    2 weeks ago

    Miamisburg, United States IntelyCare Full time

    Make up to $34 an hour as a State Tested Nursing Assistant (STNA) in Miamisburg, OH (and nearby areas) while getting the freedom to work whenever and wherever you want. Through InteyCare’s easy-to-use app, you can select shifts at any of our partner facilities to create a truly personalized and flexible schedule. And this doesn’t mean that you’re just...

  • State Tested Nursing Assistant

    1 month ago

    Miamisburg, United States IntelyCare Full time

    Job DescriptionMake up to $34 an hour as a State Tested Nursing Assistant (STNA) in Miamisburg, OH (and nearby areas) while getting the freedom to work whenever and wherever you want. Through InteyCare’s easy-to-use app, you can select shifts at any of our partner facilities to create a truly personalized and flexible schedule. And this doesn’t mean that...

  • State Tested Nursing Assistant

    1 month ago

    Miamisburg, United States IntelyCare Full time

    Make up to $34 an hour as a State Tested Nursing Assistant (STNA) in Miamisburg, OH (and nearby areas) while getting the freedom to work whenever and wherever you want. Through InteyCare’s easy-to-use app, you can select shifts at any of our partner facilities to create a truly personalized and flexible schedule. And this doesn’t mean that you’re just...

  • State Tested Nursing Assistant

    1 month ago

    Miamisburg, United States IntelyCare Full time

    Make up to $34 an hour as a State Tested Nursing Assistant (STNA) in Miamisburg, OH (and nearby areas) while getting the freedom to work whenever and wherever you want. Through InteyCare’s easy-to-use app, you can select shifts at any of our partner facilities to create a truly personalized and flexible schedule. And this doesn’t mean that you’re just...

  • State Tested Nursing Assistant

    2 days ago

    Miamisburg, United States IntelyCare Full time

    Make up to $34 an hour as a State Tested Nursing Assistant (STNA) in Miamisburg, OH (and nearby areas) while getting the freedom to work whenever and wherever you want. Through InteyCare’s easy-to-use app, you can select shifts at any of our partner facilities to create a truly personalized and flexible schedule. And this doesn’t mean that you’re just...

  • Angiography Technologist

    7 hours ago

    Miamisburg, United States Kettering Health Full time

    Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities,...

  • Assembly Technician

    3 weeks ago

    Miamisburg, Ohio, United States Excelitas Technologies Full time

    Assembler I Job DescriptionExcelitas Technologies is seeking a skilled Assembler I to join our team in Miamisburg, Ohio. As a key member of our Defense and Aerospace Business Unit, you will play a critical role in the design, manufacture, and test of energetic safety systems.Responsibilities:Perform assembly tasks, including soldering, potting,...