Pre-Certification Specialist: Payer Prep & Patient Access

PHP Staging Mobile Taleo; Dayton (OH); Vor Ort; USD 36.000 - 48.000; Vollzeit

Zusammenfassung

Fidelity Health Care in Moraine, OH, is seeking a Pre-Certification Specialist to manage pre-certification, prior authorization, and notifications for elective inpatient and outpatient procedures.

You will communicate with insurance companies and physician offices to obtain approvals, ensure regulatory compliance, and maintain patient confidentiality while delivering high-quality service to patients and care teams. Shift hours are 9am-5:30pm in a on-site setting.

Qualifikationen

• High school diploma or GED required.
• Associate degree in healthcare or business preferred.
• Two years of patient access/health information management or related experience required.
• Medical terminology certification preferred.

Aufgaben

• Complete pre-certification, prior authorization and notification for third party and government payers.
• Communicate with insurance companies and physician offices to obtain pre-certifications.
• Maintain compliance with regulatory requirements and patient confidentiality.

Kenntnisse

Customer Focus

Functional/Technical Skills

Communication Skills

Multi-tasking

Time Management

Analytical Skills

Interpersonal Savvy

Ausbildung

High school diploma or GED

Associate Degree in related healthcare or business

Jobbeschreibung

Fidelity Health Care in Moraine, OH, is seeking a Pre-Certification Specialist to manage pre-certification, prior authorization, and notifications for elective inpatient and outpatient procedures.

You will communicate with insurance companies and physician offices to obtain approvals, ensure regulatory compliance, and maintain patient confidentiality while delivering high-quality service to patients and care teams. Shift hours are 9am-5:30pm in a on-site setting.