Patient Precertification Specialist

7 days ago


Chevy Chase, Maryland, United States MedStar Health Full time
{"title": "Patient Precertification Associate", "description": "Job Summary

MedStar Health is seeking a Patient Precertification Associate to support our team at MedStar Health Outpatient Infusion Center - Chevy Chase. As a key member of our team, you will play a critical role in ensuring seamless patient care by coordinating pre-certification and authorization processes.

Key Responsibilities
  • Assist patients requiring precertification for services provided within and outside of a MedStar Ambulatory Care Center.
  • Coordinate all functions and activities related to patient pre-certification/authorization, including accurate and complete patient registration, on-site insurance verification, pre-service testing coordination, and assisting in billing denial resolution.
  • Communicate with patients, referring physicians, pharmacies, and other clinical areas to gather information and resolve issues.
  • Identify patient's insurance, ascertain MedStar Entities' contract participation status, and communicate contract participation status to patients.
  • Review electronic billing information to ensure accurate coding and preemptively resolve any possible billing errors prior to submission to PUBS.
  • Contribute to the achievement of established department goals and objectives and adhere to department policies, procedures, quality standards, and safety standards.
Requirements
  • Associate's degree required.
  • Knowledge of medical terminology required.
  • Experience in a medical/clinical office.
  • Previous experience with computerized scheduling and registration systems required.
  • Previous experience with an electronic health record system desired, especially IDX/GE centricity clinical or Aria preferred.
", "company": "MedStar Health", "location": "Chevy Chase", "salary": "$29.96"}

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