Pre-Certification Rep.

Deborah Heart & Lung • Pemberton Township, NJ

94d • $17

About The Position

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.

Requirements

• High School or G.E.D.
• 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.
• Medical Terminology knowledge.
• Anatomy and Physiology knowledge.
• Excellent communication skills.

Nice To Haves

• Experience with CPT coding.

Responsibilities

• Obtain authorizations and managed care referrals for inpatient and outpatient encounters.
• Perform verification of benefits.
• Conduct pre-certification for elective and emergency admissions.
• Obtain Notices of Admissions.
• Assist the Department of Patient Access Services with pre-registration requirements and order entry.

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.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED