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
The minimum starting rate for this position is $17.64
When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity).
At Deborah, healthcare is still about caring...for patients and team members. That is why we offer an outstanding benefits package, which includes healthcare coverage for team members in regularly budgeted positions of at least 30 hours per week. The benefits package also includes generous paid time-off, 401K matching contribution, tuition assistance, short and long term disability benefits, life insurance, meal discount, dependent care subsidy, adoption assistance and free parking.
Qualifications
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
Why Work at Deborah
Deborah® is consistently recognized as a leader in patient care and innovative healing.
Learn MoreEmployee Benefits
At Deborah®, healthcare is still about caring...for patients and employees. That’s why we offer an outstanding benefits package.
Learn More