Pre-Certification & Benefits Verifier

Deborah; Pemberton Township, Northern (NJ, KY); Hybrid; USD 21,000 - 29,000; Full time

Benefits offered by this job

Healthcare coverage

Paid time off

401K matching contribution

Tuition assistance

Life insurance

Job summary

Deborah is seeking a healthcare access professional to obtain authorizations and referrals for inpatient and outpatient encounters. The role includes verification of benefits and pre-certification for admissions, with additional duties like pre-registration and order entry in a high-volume setting.

The position emphasizes strong communication skills and the ability to manage a fast-paced workflow while adhering to policies and procedures. A competitive benefits package is offered.

Qualifications

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

Responsibilities

• Obtain authorizations and referrals for inpatient and outpatient encounters.
• Verify benefits and pre-certification for elective and emergency admissions.
• Obtain Notices of Admissions.
• Assist with pre-registration requirements and order entry.
• Handle high patient volumes in a fast-paced environment.

Skills

Medical Terminology

Anatomy and Physiology

CPT coding

Education

High School or GED

Job description

Deborah is seeking a healthcare access professional to obtain authorizations and referrals for inpatient and outpatient encounters. The role includes verification of benefits and pre-certification for admissions, with additional duties like pre-registration and order entry in a high-volume setting.

The position emphasizes strong communication skills and the ability to manage a fast-paced workflow while adhering to policies and procedures. A competitive benefits package is offered.