Pre-Certification Specialist
4 weeks ago
Pre-Certification Specialist
Columbus, Georgia Facility St. Francis-Emory HealthcareReq ID 505612 Post Date 04/15/2024 Category Administrative
Description
Responsible for collecting and entering complete and accurate demographic and insurance information prior to the patient’s arrival. Verifying that the pre-certification requirements of the insurance companies have been met. Verifying the benefits coverage and quantifying the patient liability portion. Contacting the patient the day before arrival to remind them of the appointment, set the expectation for payment, and answer any questions the patient may have.
FLSA: Non-exempt
EEO: □ 01 Officials and Managers □ 02 Professionals □ 03 Technicians □ 04 Sales Workers X 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service Workers
Qualifications
Minimum Education
X High school diploma or equivalent X Required
Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Certifications:
X HFMA’s Certified Patient Account Representative (CPAR) designation- preferred
Minimum Work Experience
Minimum one (1) year in customer service focused environment.
Computer, data entry experience.
Familiar with Third Party Payers Utilization Management Requirements for Outpatient Procedures.
Must possess an understanding of Medical Terminology and diagnostic procedures.
Previous scheduling or medical diagnostic department experience
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