Pre-Certification Rep. (Part-Time)

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

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 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: 8:00am- 4:30pm

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
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