DSP Pre-Certification Rep

Deborah Heart and Lung Center; Pemberton Township (NJ); On-site; USD 21,000 - 29,000; Full time

Benefits offered by this job

Healthcare coverage

401K matching

Paid time-off

Tuition assistance

Disability benefits

Life insurance

Free parking

Job summary

Deborah Heart and Lung Center is seeking a detail-oriented team member to obtain authorizations and managed care referrals for outpatient encounters. This role includes verification of benefits, pre-certification for admissions, and assisting with pre-registration and order entry in a high-volume setting.

The candidate should have 6 months to 1 year of related experience and familiarity with managed care and commercial insurance plans; education requires a high school diploma or GED.

Qualifications

• High School or G.E.D is required.
• Six months to one year of recent experience with insurance companies, physician’s office, billing company, or other healthcare setting is preferred.
• Familiarity with managed care insurance and commercial insurance plans.

Responsibilities

• Obtain authorizations and/or managed care referrals for outpatient encounters.
• Verify benefits and pre-certification for elective and emergency admissions.
• Assist Department of Patient Access Services with pre-registration requirements and order entry as needed.
• Handle high patient volumes in a fast-paced environment.

Skills

Medical Terminology

Anatomy and Physiology

CPT coding

Excellent communication skills

Education

High School or G.E.D

Job description

Job Details

Position Summary: Responsible to obtain authorizations and/or managed care referrals for outpatient encounters. Other responsibilities include performing verification of benefits, pre-certification for elective and emergency admissions and obtaining Notices of Admissions. Additional duties may include assisting the Department of Patient Access Services in performing pre-registration requirements, order entry, etc. Position requires self-motivated individual who can handle high patient volumes and fast pace.

Experience: Preferred: Six months to one year of recent experience with insurance companies, physician’s office, billing company, or other healthcare setting. Familiarity with managed care insurance and commercial insurance plans.

Education: Required: High School or G.E.D

License and Credentials: Required: none

Skills: Preferred: Medical Terminology, Anatomy and Physiology. Experience with CPT coding preferred. Excellent communication skills required.

HOURS: M-F 8am to 4:30pm, 80 hours per pay period

EOE

The minimum starting rate for this position is $18.20

When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity).

At Deborah, healthcare is still about caring...for patients and team members. That is why we offer an outstanding benefits package, which includes healthcare coverage for team members in regularly budgeted positions of at least 30 hours per week. The benefits package also includes generous paid time-off, 401K matching contribution, tuition assistance, short and long term disability benefits, life insurance, meal discount, dependent care subsidy, adoption assistance and free parking.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.