Pre-Certification Rep.
Job Details
Description
Position Summary: Responsible to obtain authorizations and/or managed care referrals for inpatient and outpatient encounters. Other responsibilities include performing verification of benefits, pre-certification for elective and emergency admissions and obtaining Notices of Admissions. Additional duties may include assisting the Department of Patient Access Services in performing pre-registration requirements, order entry, etc. Position requires self-motivated individual who can handle high patient volumes and fast pace.
Experience
Preferred: Six months to one year of recent experience with insurance companies, physician office, billing company, or other healthcare setting. Familiarity with managed care insurance and commercial insurance plans.
Education
Required: High School or G.E.D.
Skills: Medical Terminology, Anatomy and Physiology. Experience with CPT coding preferred. Excellent communication skills required.
Bi-Weekly Hours: 80 hours per pay period
Work Schedule: 8:00am- 4:30pm
Qualifications
Why Work at Deborah
Deborah® is consistently recognized as a leader in patient care and innovative healing.
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At Deborah®, healthcare is still about caring...for patients and employees. That’s why we offer an outstanding benefits package.
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