Pre Cert Rep - Prof Svcs Revenue Cycle - FT - 1st Shift

HH Health System•Huntsville (Cochran Center), AL

1d•Onsite

About The Position

The Pre-Certification Representative is responsible for obtaining approval from insurance companies for services that require referral, pre-certification or prior authorization. All job functions are performed in a manner that promotes the highest level of compliance with various legal, regulatory and accreditation requirements while maintaining all protected health information in manner that complies with HIPAA requirements.

Requirements

High School diploma or GED required
Three years of medical insurance or medical billing experience required
Proficiency working with computer applications, including Word, Excel and EMR/Billing systems required
Understanding of medical terminology and general medical billing processes, including accounts receivable required
Basic understanding of medical coding required
Broad understanding of insurance company requirements related to services that require referral, pre-certification or prior authorization required
Ability to process a high volume of work in an accurate manner required
Ability to communicate effectively both verbally and in writing required
Effective work habits including, regular and prompt attendance, dependability, teamwork and initiative required

Nice To Haves

Post-secondary education preferred
One year of prior experience with pre-certifications preferred

Responsibilities

Obtaining approval from insurance companies for services that require referral, pre-certification or prior authorization.
Promoting the highest level of compliance with various legal, regulatory and accreditation requirements.
Maintaining all protected health information in a manner that complies with HIPAA requirements.