Pre-Service/Pre-Cert Representative- Patient Registration, Full-Time, Bridgeton

Inspira Health•Bridgeton, NJ

12h•Onsite

About The Position

The Pre-Service/Pre-Cert Representative is responsible for ensuring all outpatient insurance requirements are completed in advance of patient’s scheduled appointment date. The representative must validate all insurances in HDX or via insurance portals, as needed. The representative is also responsible for ensuring authorizations are obtained via Recondo tool and/or to obtain hospital authorizations on behalf of physician practices, when applicable, prior to the patient’s scheduled procedure/testing date.

Requirements

High School Diploma or GED equivalent required
Minimum of one-year experience working in a hospital registration area or physician’s office verifying medical insurance coverage via online portals- Navinet, Medicaid, Medicare- required
Ability to organize accounts, work independently, and take direction as needed in addition to being detail oriented is a must
Must be able to work in a fast-paced environment with a diverse population while maintaining a professional attitude and providing great customer service
Computer proficiency required
Typing skills minimum 30-40 WPM required

Nice To Haves

Some college and/or CHAA certified preferred
Working knowledge of insurance plans, products, benefits, and authorization process and requirements preferred
Familiarity with 3rd party vendor process used for authorization submission via Evicore, AIM, GEMS preferred

Responsibilities

Ensuring all outpatient insurance requirements are completed in advance of patient’s scheduled appointment date
Validate all insurances in HDX or via insurance portals, as needed
Ensuring authorizations are obtained via Recondo tool and/or to obtain hospital authorizations on behalf of physician practices, when applicable, prior to the patient’s scheduled procedure/testing date