Pre-Certification Specialist

Baptist Health • Carmichael, CA

2d • Onsite

About The Position

The Pre-Certification Specialist is responsible for obtaining pre-certification of outpatient and office procedures. This role involves scheduling all procedures and precertifying them. The specialist will assist patients with questions regarding insurance or eligibility and communicate effectively and efficiently with physicians and staff. Additionally, the role requires contacting third-party payers in a timely fashion to provide notification of a member's need for procedures.

Requirements

• High school diploma or equivalency required.
• Two years of clerical experience required.
• Accurate spelling and proper grammar.
• Strong oral and written communication skills.
• Typing, computer, and telephone skills.
• Ability to manage multiple tasks efficiently.
• Ability to maintain complete and accurate records.
• Ability to communicate and understand medical terminology.
• Ability to prioritize workload to achieve maximum efficiency.
• Ability to effectively communicate with people of various backgrounds throughout the organization.
• Ability to provide a positive customer service experience to guests, visitors, and patients.
• Ability to coordinate tasks and work within time constraints.

Nice To Haves

• Previous training or certification from an approved Nursing Assistant Program preferred.
• Experience in healthcare services is preferred.

Responsibilities

• Obtain pre-certification of outpatient and office procedures.
• Schedule all procedures and precertify them.
• Assist patients with questions regarding insurance or eligibility.
• Communicate effectively and efficiently with physicians and staff.
• Contact third-party payers in a timely fashion and provide notification of a member's need for procedures.

What This Job Offers

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