Precertification Specialist - Specialty
About The Position
ESSENTIAL FUNCTIONS: 1. Procedure Insurance verification for all office and hospital based procedures. 2. Obtain any prior authorization needed for procedures or diagnostic imaging. 3. Communicate with patients the monetary amount due at time of the procedure. 4. Schedule patients for office and hospital based procedures. 5. Stay current with insurance requirements and plan changes. 6. Answer all voicemails and telephone encounters. 7. Assist in Front Desk areas when needed. 8. Works with hospital endoscopy department to schedule patients. 9. Other duties as assigned. Required Competencies Adaptability - Adapts to changes in the work environment; Manages competing demands; Able to deal with frequent change, delays, or unexpected events. Attitude – Displays passion for job and a can-do attitude. Cost Consciousness - Conserves departmental resources. Initiative - Takes independent actions and calculated risks. Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work. Departmental Support - Follows policies and procedures; Supports department's goals and values. Oral Communication - Speaks clearly and conveys information effectively; Responds well to questions. Gives full attention to what others are saying; Takes time to understand the points being made, asking questions as appropriate; Does not interrupt at inappropriate times. Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently. Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration. Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly. Teamwork - Contributes to a positive team spirit; Displays a whatever-it-takes approach to job. Quality Management - Looks for ways to improve quality; Is accurate and thorough.
Requirements
- High school diploma or equivalent GED
- Ability to understand written sentences and paragraphs in work related documents.
- Ability to add, subtract, multiply, divide, use fractions.
- Uses logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Presents solid keyboard skills
- Ability to quickly acquire knowledge of EndoSoft, eClinicalWorks, and hospital browser software.
- Must be able and willing to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
Nice To Haves
- Bachelor’s Degree
- Medical Assistant Certification
Responsibilities
- Procedure Insurance verification for all office and hospital based procedures.
- Obtain any prior authorization needed for procedures or diagnostic imaging.
- Communicate with patients the monetary amount due at time of the procedure.
- Schedule patients for office and hospital based procedures.
- Stay current with insurance requirements and plan changes.
- Answer all voicemails and telephone encounters.
- Assist in Front Desk areas when needed.
- Works with hospital endoscopy department to schedule patients.
- Other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
