Pre Cert Rep - CBO2
Huntsville Hospital Health System•Arab, AL
•Onsite
About The Position
A Precert Rep is placed inside a high volume Call Center to schedule and pre-authorize diagnostic testing. Their daily routine varies depending on the needs of the department. They ensure that imaging procedures are scheduled correctly and are authorized in accordance with payer requirements to support timely patient care, reduce denials, and maintain compliance with hospital and insurance guidelines.
Requirements
- High school diploma or GED
- Working knowledge of computers and systems to include Microsoft Word, Excel, and Outlook
- Ability to communicate in a pleasant, professional, concise, and caring manner
- Critical thinking and problem solving skills
Nice To Haves
- Prior experience in the healthcare environment
- Prior customer service experience
Responsibilities
- Schedules patients at physician request for diagnostic services
- Verifies insurance coverage for services as well as whether a pre-auth is required – obtaining the pre-auth as needed
- Communicates appointment information and preparation instructions to patients
- Communicates with referring providers to ensure all clinical documentation needed is available at time of appointment
- Maintains requested statistics, clinical documentation, and reports
Benefits
- medical
- dental
- vision
- life insurance
- flexible spending
- short term disability
- long term disability
- retirement account options with 401K organization match
- nurse residency program
- tuition assistance
- student loan reimbursement
- On-site training and education opportunities
- Employee Discounts
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
