Precertification Specialist / Scheduler

Medical University of South Carolina • Bluffton, MN

1d • Onsite

About The Position

The Precertification Specialist / Scheduler coordinates the activities related to patient scheduling within and outside of the healthcare system, interacts with other members of health care teams to achieve desired outcome. Performs pre-certification functions to ensure that all services requiring carrier authorizations are approved.

Requirements

• High school diploma or equivalent (GED)
• Two years’ work experience in hospital registration, insurance, or financial counseling required
• Considerable knowledge and skill in the application of the techniques and practices of OR Scheduling.
• Considerable knowledge of complex medical terminology and advanced disease processes preferred.
• Previous work experience in pre-certification and knowledge of medical terminology highly preferred.
• Ability to perform job functions while standing. (Frequent)
• Ability to perform job functions while sitting. (Frequent)
• Ability to perform job functions while walking. (Frequent)
• Ability to climb stairs. (Infrequent)
• Ability to work indoors. (Continuous)
• Ability to work from elevated areas. (Frequent)
• Ability to work in confined/cramped spaces. (Infrequent)
• Ability to perform job functions from kneeling positions. (Infrequent)
• Ability to bend at the waist. (Frequent)
• Ability to squat and perform job functions. (Infrequent)
• Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent)
• Ability to reach in all directions. (Frequent)
• Possess good finger dexterity. (Continuous)
• Ability to fully use both legs. (Continuous)
• Ability to fully use both hands/arms. (Continuous)
• Ability to lift and carry 15 lbs. unassisted. (Infrequent)
• Ability to lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted. (Infrequent)
• Ability to lift from 36 inches to overhead 15 lbs. (Infrequent)
• Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous)
• Ability to see and recognize objects close at hand or at a distance. (Continuous)
• Ability to match or discriminate between colors. (Continuous)
• (Selected Positions) Ability to determine distance/relationship between objects; depth perception. (Continuous)
• Ability to maintain hearing acuity, with correction. (Continuous)
• Ability to perform gross motor functions with frequent fine motor movements. (Continuous)
• Ability to work in a latex safe environment. (Continuous)
• Ability to maintain tactile sensory functions. (Frequent)
• (Selected Positions) Ability to maintain good olfactory sensory function. (Frequent)
• (Selected Positions) Ability to be qualified physically for respirator use, initially and as required. (Continuous)
• (Selected Positions)
• High School Degree or Equivalent
• 3 years

Nice To Haves

• A Bachelor’s degree may be substituted for the required work experience.

Responsibilities

• Coordinates the activities related to patient scheduling within and outside of the healthcare system.
• Interacts with other members of health care teams to achieve desired outcome.
• Performs pre-certification functions to ensure that all services requiring carrier authorizations are approved.

Benefits

• Health, dental, vision, and life insurance
• Employer Sponsored Retirement Plan
• Paid time off and extended sick leave
• Paid Parental Leave
• Disability insurance plan options
• Continuous professional and clinical training
• Competitive pay
• Annual Merit Increase
• Wellbeing resources
• Tuition Reimbursement
• Employee perks and discounts
• Employee referral program
• Flexible schedule options
• Certification incentive program

What This Job Offers

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