PRECERTIFICATION SPECIALIST

Compensation

: $216,800.00 - $216,800.00 /year *

Employment Type

: Full-Time

Industry

: Healthcare - Physician



Ref ID: 03700-#######098 Classification: Customer Service Representative Compensation: DOE SUMMARY OfficeTeam is currently seeking skilled candidates to fill a rewarding PRECERTIFICATION SPECIALIST role with one of our clients located in Allentown, PA. In this PRECERTIFICATION SPECIALIST position, you will get your chance to work in the healthcare industry and an opportunity to make a difference. Play a vital role with this PRECERTIFICATION SPECIALIST position as you will gain an opportunity to work with one of the top employers in the Lehigh Valley In this PRECERTIFICATION SPECIALIST role, you will responsible for gathering and maintaining patient demographics and financial information. This PRECERTIFICATION SPECIALIST will also be assisting in the creation of patient accounts and reviewing outstanding precertification requests. The PRECERTIFICATION SPECIALIST will also be ensuring that authorization is being obtained and documented accurately and in a timely manner. In this PRECERTIFICATION SPECIALIST role, you will be aiding in the completeness of precertification so a high level of expertise in precertification is a must Get your career moving in the right direction with this PRECERTIFICATION SPECIALIST role as this company can offer challenging but career-building experience all while providing excellent rewarding growth opportunities DUTIES Input patient registration information and account data in hospital system Assist in the insurance/benefit verification process Ensure all referral and authorization requirements are completed; notate correct date of service, procedure codes and facility Explain referral and authorization requirements to patient, family and referring physician offices as needed Obtain referral and/or authorizations prior to scheduled procedure date Maintain current and detailed knowledge of third-party requirements Utilize office software for insurance verification/eligibility Utilize patient estimation software to communicated patient responsibility Scan orders and referrals/authorizations into system Call the physician's' office prior to appointment for any missing documentation Make sure worklists are reviewed to assure authorizations and referrals are being obtained retrospectively where possible to minimize denials Accurately update scheduled appointments to include referral and authorization requirements Ensure the scheduled appointments match the corresponding account registration Maintain compliance when working with patient insurance information Additional clerical tasks as assigned For immediate consideration, please call 610-###-#### or email resumes to [Click Here to Email Your Resum?] REQUIREMENTS Minimum of 1 years' experience in related Healthcare Precert/Authorization processes Must have a strong understanding of Medical Terminology Strong Computer skills, including but not limited to Microsoft Office Suite Understanding of Medical Software systems such as Epic, Navinet, Passport, etc. Excellent written and verbal communication skills Ability to provide excellent phone etiquette and have excellent interpersonal skills Must have the ability to work well independently and in fast-paced environment Bilingual in Spanish a plus OfficeTeam is the world's leader in professional staffing for office support jobs, focusing exclusively on the temporary and temporary-to-full-time placement of professionals in the administrative field. We are faster at finding you work because of the depth of our client network. Specifically, our professional staffing managers connect with thousands of hiring managers in North America every week to find your office support job opportunities. We evaluate all of our OfficeTeam temporaries' skills and match them with the needs of top employers in their area. Apply for this job now or contact us today at 888.###.#### for additional information. All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada. ? 2019 OfficeTeam. A Robert Half Company. An Equal Opportunity Employer M/F/Disability/Veterans. By clicking 'Apply Now' you are agreeing to Robert Half Terms of Use .
Associated topics: account, authorization, biller, data, front, medical biller, medical billing, medical coding, medical transcriptionist, medicare * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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