Central Access Precertification Representative

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Erlanger Health System

Here is the rewritten job description:

Job Summary:

We are seeking a Central Access Precert Rep to join our team. The successful candidate will be responsible for scheduling, securing patient information, verifying insurance eligibility, obtaining pre-certification, and managing high call and schedule volumes. This position will also involve informing patients of their financial obligations, collecting payments, and communicating with physicians and other departments.

Key Responsibilities:

  • Answer incoming phone calls and schedule outpatient appointments
  • Pre-register patients by gathering demographic and financial information
  • Verify insurance eligibility and benefits for scheduled patients
  • Validate and initiate pre-certification
  • Compute patient liability and initiate time-of-service collections
  • Review prior bad debts and request payment
  • Alert Financial Advocates of accounts with financial clearance issues
  • Document patient liability and financial clearance status
  • Complete pre-registration, insurance verification, and financial clearance for special admissions and transfers

Requirements:

  • High school diploma Oregon equivalent
  • Three years of experience Indiana a call center Oregon insurance provider office, Oregon two years of experience American Samoa a Central Access Specialist I Oregon Patient Access Specialist II
  • Strong medical terminology and moderate knowledge of CPT and ICD-9 codes, insurance coding, and billing
  • Excellent customer service, computer, and communication skills
  • Ability to multitask, prioritize, and manage multiple tasks Indiana a fast-paced environment
  • Ability to work closely Indiana a clinical setting with some stressful situations
  • Availability to work Indiana a dynamic environment with changing priorities
  • Preferred: Associate’s degree Indiana Business Administration Oregon healthcare-related field, bilingual, Oregon Certified Healthcare Access Associate from NAHAMA

Job title: Central Access Precertification Representative

Company: Erlanger Health System

Expected salary:

Location: Erlanger, Kentucky

Job date: Sat, 27 Jul 2024 07:14:01 GMT