Precertification Representative, Full-Time, Days, DMH

HH Health System • Decatur, AL

6d

About The Position

Works as part of the Patient Access team to initiate and/or verify precertification information and enter it into the registration system. Coordinates with patients, physicians, physician office staff, and other hospital employees to ensure required precertifications are obtained and documented. Maintains accuracy and completes tasks within designated timeframes. The role requires providing excellent customer service, managing multiple requests, and performing functions with minimal supervision.

Requirements

• High school diploma or GED required.
• Excellent verbal and written skills required.
• Ability to work in a fast-paced environment with a positive attitude.
• Effective time-management skills.
• Efficiency and organizational skills, including the ability to multitask.

Nice To Haves

• Post-secondary education preferred.
• Physician office or precertification experience preferred.
• Two years of customer service experience preferred.
• Previous registration, scheduling, insurance, medical records, or billing experience strongly preferred.
• Proficiency in Microsoft Office Suite strongly preferred.

Responsibilities

• Accurately identify patient records using two patient identifiers.
• Verify insurance eligibility and precertification requirements.
• Initiate and/or verify precertification information for applicable visits.
• Coordinate with physician office staff to obtain clinical codes needed for precertification.
• Accurately enter medical, insurance, and precertification data into the registration system.
• Notify Patient Access staff of precertification issues in a timely manner.
• Perform functions with minimal supervision or guidance.
• Provide excellent customer service and service recovery when needed.
• Prioritize multiple simultaneous requests from customers, physicians, and staff.
• Attend departmental staff meetings.
• Successfully complete mandatory training.
• Manage personal time and attendance and promptly notify the supervisor of issues.
• Maintain knowledge of pertinent policies and procedures.
• Use AIDET and HEATT to problem solve with patients, visitors, coworkers, and staff from other departments.

What This Job Offers

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