Pre-Certification Specialist | Patient Accounts

2 months ago


Hillsdale, United States Hillsdale Community Health Ctr Full time
Work Schedule

Full Time, 8am-4:30pm Monday through Friday

Benefits

  • Insurance: medical, prescription, dental, vision, life, disability
  • Paid Time Off: vacation, sick days, personal days, holidays
  • Retirement: 403(b) with match
  • Education assistance and continuing education - many courses offered on-site at the hospital
Requirements
  • High school diploma or equivalent
  • Medical terminology, billing and admitting experience preferred but not required
  • Excellent communication and follow through skills
Responsibilities
  • Run and review schedule reports daily (Surgery, Radiology, add-on reports)
  • Verify insurance andcorrect financial classes for all scheduled services
  • Ensure authorizations are in place by contacting physician's office and/or insurance companies
  • Keep patients and offices informed of any delays
  • Follow procedures to meet the Surprise Billing Act by making sure patients are informed of estimates for out-of-pocket expenses prior to service
  • Assist in securing payments prior to or at time of service
  • Assist in self pay patient process by contacting the patient and/or Financial Counselor for review of available financial options
  • Monitor payer websites to ensure authorization requirements are maintained
  • Assist with other duties as assigned
Why Hillsdale Hospital
  • Hillsdale Hospital is dedicated to excellence in healthcare community service, continued improvement, and respect for human life. We manage the health needs of our local community through compassionate and highly skilled care in our clean, safe, healing environment.
  • Additionally, Hillsdale Hospital is a 2023 Healthcare Top Workplaces winner We are one of less than 200 healthcare organizations nationwide to be named to the list by Energage. This marks the organization's third Top Workplace win in the past year, including recognition as a 2022 Detroit Free Press Top Workplace in Michigan and 2023 Top Workplace USA. Our work environment has been recognized statewide, nationally and nationally within our unique industry.

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