Precertification Representative, Full-Time, Days, DMH

Huntsville Hospital Health System • Decatur, AL

7d

About The Position

Works as part of the Patient Access team to initiate and/or verify precertification information. Enters precertification information into the registration system and coordinates with patients, physicians, physician office staff, and other hospital employees to ensure necessary pre-certifications are obtained and documented. Maintains a high level of accuracy and completes tasks within designated timeframes.

Requirements

• High school diploma or GED required.
• Excellent verbal and written communication 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 identifies patient records using two patient identifiers.
• Verifies insurance eligibility and precertification requirements.
• Initiates and/or verifies precertification information for applicable visits.
• Coordinates with physician office staff to obtain clinical codes needed for precertification.
• Accurately enters medical, insurance, and precertification data into the registration system.
• Notifies Patient Access staff of precertification issues in a timely manner.
• Performs functions with minimal supervision or guidance.
• Provides excellent customer service and service recovery when needed.
• Prioritizes multiple simultaneous requests from customers, physicians, and staff.
• Attends departmental staff meetings.
• Successfully completes mandatory training.
• Manages personal time and attendance and immediately notifies the supervisor of issues.
• Maintains knowledge of pertinent policies and procedures.
• Uses AIDET and HEATT to problem-solve with patients, visitors, co-workers, and staff from other departments.

What This Job Offers

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