Central Access Pre-cert Rep

The Central Access Pre-cert Rep is responsible for scheduling, securing patient demographic and insurance information, verifying insurance eligibility and benefits, obtaining and securing pre-certification and clinical documentation obtained and validated. Strong emphasis of managing scheduled cases less than 24 hours and same day add-on cases.

What You Will Do

Answering incoming phone calls, scheduling outpatient appointments, pre-registering patients, verifying insurance eligibility and benefits, validating and initiating pre-certification, computing patient liability, communicating and initiating time of service collections.

Why It Might Be a Fit

The Central Access Pre-cert Rep demonstrates professionalism, excellent oral and written communication skills, and the ability to relate well to people of a broad socio-economic mix. Strong organizational skills, ability to multitask, work in a fast pace environment, manage a multi-line phone system, and a commitment to teamwork are essential.

Requirements

• Three years work experience in either a governmental or commercial insurance provider office with call center experience
• Two years experience as a Central Access Specialist I or as an Pt Access Specialist II
• Strong Medical terminology, and moderate knowledge of CPT and ICD-9 codes, insurance coding and billing knowledge
• Ability to read, write and arithmetic including fractions and decimals
• Strong computer skills, excellent customer service skills and interpersonal communication and telephone etiquette
• Ability to interpret health insurance benefits, clinical documentation from physician office to secure medical necessity
• Computer, fax machine, copier, multiline telephone
• Demonstrate ability to multitask and manage high volumes
• Individual is a self-starter and demonstrated ability prioritize work and manage multiple task in a sometimes stressful environment