Precertification Specialist II

W.B. Carrell Memorial Clinic, Associated • Houston, TX

29d

About The Position

Pre-Cert Specialist obtains surgery pre-authorizations, processes patient payments, provides excellent customer service to all guests, patients, adjusters, and clients.

Requirements

• High School Diploma or equivalent (GED) is required.
• Relevant front-desk and customer related experience required.
• 1 to 3 years' experience within a healthcare environment or relevant equivalent required.
• Prior experience in customer service, knowledge of different insurance plans and the ability to research complex issues required.
• Ability to interact with personnel of all levels within the organization and work within a fast paced team environment.
• Ability to maintain a culture of excellent customer service, open and friendly staff relations and approachable demeanor with all levels of staff.
• Interpersonal skills, customer orientation and an outgoing and pleasant demeanor.
• Prior experience and demonstrated competence with patient or customer information systems required.
• Excellent verbal, written and interpersonal communication skills to communicate effectively with all levels hospital staff, patients, visitors, and levels of staff; along with organizational and analytical skills required.
• Advanced reading, data entry and computer skills.
• Knowledge of HIPAA regulations and maintain confidentiality of patient and client information.

Responsibilities

• Obtain surgery authorization for procedure requested by the physician in an effective and efficient manner.
• Analyze patient insurance plans to determine financial responsibility; verifying insurance benefits and eligibility.
• Collect surgery deposits from patient in a timely manner. Must keep cash, checks and credit cards secure and confidential.
• Demonstrates positive and helpful assistance to patients, adjusters and office staff to include answering various questions.
• Receives and screens visitors and telephone calls. Provides basic information in person and on the telephone.
• Other duties and projects as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED
• Number of Employees: 1-10 employees