Pre-Certification Rep. (Part-Time)

Deborah Heart and Lung Center; Pemberton Township (NJ); On-site; USD 20,684 - 29,459; Full time

Benefits offered by this job

Healthcare coverage

Generous paid time-off

401K matching contribution

Tuition assistance

Short and long term disability benefits

Life insurance

Meal discount

Dependent care subsidy

Adoption assistance

Free parking

Job summary

Deborah Heart and Lung Center is looking for a motivated individual to obtain authorizations and managed care referrals for both inpatient and outpatient encounters. The position includes responsibilities such as verifying benefits and assisting in pre‑registration requirements.

The ideal candidate should have a high school diploma or G.E.D., with preference given to those with experience in healthcare settings and familiarity with insurance plans. This full-time role offers a starting rate of $18.20 per hour, alongside a comprehensive benefits package.

Qualifications

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

Responsibilities

• Obtain authorizations and managed care referrals for inpatient and outpatient encounters.
• Perform verification of benefits and pre‑certification for admissions.
• Assist in performing pre‑registration requirements.

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 inpatient and 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 a 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 office, billing company, or other healthcare setting. Familiarity with managed care insurance and commercial insurance plans.

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

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

Bi‑Weekly Hours: 40 hours per pay period

Work Schedule: 8:00 am–4:30 pm

The minimum starting rate for this position is $18.20. When determining a team member's 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.