Job Description
Job Description
Pre-Certification Representative
What You’ll Do
The Pre-Certification Clerk works with insurance companies, provider offices, and other stake holders to obtain pre-certification for surgeries scheduled at the hospital.
The position is responsible for ensuring that all patient insurance eligibility benefits and pre-certifications are verified before patient is admitted.
Duties include compiling, computing, recording, and billing for Medicare and Medicaid, and any other payers, as well as all follow-up for these payers that may be required.
The Successful Candidate Will Be Able To
Collaborate with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes
Maintain confidentiality with all information
Perform any and all other duties as assigned
Essential Functions
Responsible for ensuring that all patient insurance eligibility benefits and pre-certifications are verified before patient is admitted.
Compile, compute, records, and bill for Medicare and Medicaid, and any other payers as well as all follow-up for these payers that is required.
- Performs Insurance verification for all surgeries.
- Ensure pre-cert has been received by date of surgery and obtain additional information to be input in system.
- Input of all benefits and certification information into the proper locations in the system as well as adding patients insurance data and inspecting any changes in insurance and requesting any changes when applicable.
- Work with Case Management when appropriate.
- Expert knowledge of managed care benefits and commercial insurance benefits, to assist patient with questions.
- Review incoming correspondence from insurance companies recording authorization information in system.
- Ensure all correspondence and surgery work product have all pertinent information for patient admission.
- Input all notes in computer.
Job Type : Full-time
Benefits :Schedule :
- 8 hour shift
- Day shift
- Monday to Friday
- Overtime possible
Experience :
- Pre-Certification : 1 year (hospital, ASC, or surgeon office preferred)
Pre Certification Representative
The Pre-Certification Clerk works with insurance companies, provider offices, and other stake holders to obtain pre-certification for surgeries scheduled at the hospital. Pre-Certification Representative. Pre-Certification: 1 year (hospital, ASC, or surgeon office preferred). The position is respons...
Procedure Scheduler
The Procedure Scheduler is under the overallon-site supervision of the Cardiology Supervisor. ...
Travel Physical Therapy Assistant (PTA) - $1,350 per week in Norman, OK
Client in OK seeking Physical Therapist Assistant (PTA) to work. As a travel allied professional or a traveling nurse with CoreMedical Group, you are eligible for some of the best benefits in the industry, including:. Health Insurance coverage, Medical/Dental/Vision. Any benefits (medical/dental/v...
(CNA) Certified Nursing Assistant / We Will Train - Regional Medical Laboratory Yukon
Regional Medical Laboratory Yukon, part of Ascension is looking for caring and compassionate Certified Nursing Assistants (CNAs) to join our team!. Generous PTO, excellent (and affordable) medical, dental, vision and retirement (with a match). ...
Administrative Assistant Admin Work From Home - Part-Time Focus Group Panelists
No Administrative Assistant admin experience needed. Administrative Assistant Admin Work From Home - Part Time Remote Focus Group Panelists. Administrative assistant admin experience is not necessary. If you are an administrative assistant or someone just looking for a flexible part time remote work...
Front Desk Receptionist - OSSO Broadway
Front Desk Receptionist needed for high volume orthopedic clinic in North Oklahoma City. Minimum one year experience as a front desk receptionist in a medical clinic preferred. ...
Premium Accounting Clerk II (Onsite) (15830)
Assist with the responsibilities of the Premium Accounting Clerk I as needed. The clerk will also be responsible for various reporting and reconciliation tasks as assigned. They will be expected to make appropriate determinations based on information provided and policies established by the Premium ...
Legal Customer Service Representative (Spanish Bilingual)
Love’s continues its commitment to offer products and services that provide value for professional drivers, fleets, four-wheel customers, RVers, alternative fuel and wholesale fuel customers. Provide excellent customer service for members, attorneys, and associates through quality inbound and outbou...
Accounting Clerk
If you have experience in the energy, fuel or logistics industries, this accounting job may be the perfect fit for you! This is an onsite role in a business casual office. Compile and import accounting data. ...
Remote Senior Customer Service Representative
This position is responsible for providing world-class customer service to auto insurance customers while resolving customer inquiries and procuring total loss information from insurers and vehicle owners. Possess a positive attitude and desire to provide outstanding customer service. Diversity of e...