DSP Pre-Certification Rep

Deborah Heart and Lung CenterBrowns Mills, NJ
Onsite

About The Position

Responsible to obtain authorizations and/or managed care referrals for 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.

Requirements

  • High School or G.E.D
  • Excellent communication skills required.

Nice To Haves

  • Six months to one year of recent experience with insurance companies, physician’s office, billing company, or other healthcare setting.
  • Familiarity with managed care insurance and commercial insurance plans.
  • Medical Terminology, Anatomy and Physiology.
  • Experience with CPT coding preferred.

Responsibilities

  • Obtain authorizations and/or managed care referrals for outpatient encounters.
  • Perform verification of benefits.
  • Pre-certification for elective and emergency admissions.
  • Obtain Notices of Admissions.
  • Assist the Department of Patient Access Services in performing pre-registration requirements, order entry, etc.

Benefits

  • Healthcare coverage for team members in regularly budgeted positions of at least 30 hours per week.
  • Generous paid time-off
  • 401K matching contribution
  • Tuition assistance
  • Short and long term disability benefits
  • Life insurance
  • Meal discount
  • Dependent care subsidy
  • Adoption assistance
  • Free parking
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