Insurance Authorization Specialist
2 weeks ago
Title:
Pre-Certification Specialist
Location:
Maury Regional Medical Center
Position Shift:
Full Time 8:30a-5p
Position Overview:
The Pre-Certification Specialist is responsible for a range of technical competencies, including a comprehensive understanding of office technology, computer systems, and insurance platforms. This role requires an in-depth knowledge of various healthcare insurance providers and their authorization requirements. The ability to effectively communicate clinical documentation and insurance protocols for authorization is essential.
It is vital to create a welcoming atmosphere for every patient, family member, visitor, or staff member while executing scheduling and pre-certification tasks.
The responsibilities include scheduling and securing insurance pre-certification/pre-determination, as well as assessing medical necessity compliance before patients receive medical services, ensuring both accuracy and promptness.
Collect demographic details and verify insurance information. Address and resolve inquiries from patients, visitors, and staff.This position necessitates critical thinking skills, sound judgment, proficient oral and written communication abilities, and the capacity to operate with minimal oversight.
The ability to thrive in a fast-paced environment and take appropriate actions is crucial.Qualifications:
- Associate's Degree Preferred
- 3 Years of Relevant Experience Required
- High School Diploma or Equivalent Preferred
About Maury Regional Health:
Maury Regional Health stands as the largest healthcare system between Nashville and Huntsville, employing approximately 2,800 individuals and collaborating with over 200 physicians across various facilities, including:
- Maury Regional Medical Center (Columbia)
- Marshall Medical Center (Lewisburg)
- Wayne Medical Center (Waynesboro)
- Lewis Health Center (Hohenwald)
- Maury Regional Medical Group physician practices
- Additional locations
Culture:
Recognized for its Magnet designation at Maury Regional Medical Center and a steadfast commitment to patient-centered care.
- Acknowledged as the Best Place for Working Parents for 2024
Educational Opportunities:
Offers Educational Assistance, including Tuition Reimbursement, Student Loan Repayment, and Mentorship Programs for eligible candidates.
Career Development:
Provides cross-training, mentorship, and opportunities for internal promotions.
Benefits:
Competitive compensation along with a comprehensive benefits package, including medical, vision, and dental coverage available within the first 30 days of employment, retirement matching, and complimentary parking on campus.
Maury Regional Health is dedicated to the principles of Equal Employment Opportunity in all facets of the employer/employee relationship.
We provide equal employment opportunities to all qualified individuals without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origin (including ancestry), genetic information, disability, age, military/national guard/veteran status, sexual orientation, gender identity, or gender expression, or any other status protected by state or federal law.
All statements made by applicants for employment on this application form will be verified for accuracy. Maury Regional Health campuses maintain a tobacco-free environment, prohibiting all tobacco use.-
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