PreCert Clerk

Diagnostic Imaging Centers of Texas; El Paso (TX); On-site; USD 34,000 - 45,000; Full time

Job summary

Diagnostic Imaging Centers of Texas in El Paso, TX seeks an Insurance Verification Clerk to verify patient coverage, obtain pre-certifications, and ensure authorizations are in place before exams.

The role requires handling phones and computers, maintaining confidentiality, and coordinating with physicians’ offices to obtain correct procedure codes and resolve denials as needed.

Qualifications

• High School Diploma or equivalent.
• Minimum of one year of customer service experience required.
• One year experience working in a medical related office preferred.
• Experience and knowledge in handling telephones, computer terminals.

Responsibilities

• Verifies insurance coverage for patient exams, makes written and/or verbal inquiries to third party payers to verify insurance status and pre-certification status.
• Stays abreast of patients added throughout the day and insures authorizations are processed prior to exam.
• Performs various administrative tasks to expedite the verification process, including documentation of guarantor information, patient information and protocols, and medical record reproduction.
• Participates in educational programs, in-service meetings, and workshops.
• Maintain patient confidentiality is crucial.
• Demonstrates exemplary telephone etiquette skills.
• Works closely with all centers to make sure all patients are authorized before doing exam.
• Calculates patient fees and explains fees to patients; sets up payment plans and gets approval from supervisor as needed; notifies patient of change in authorization.
• Works with Physician offices to: o clarify physician’s orders; o clinical records for authorizations o obtains the appropriate procedure code and o enters into the medical system; obtains.
• Recognizes variations and takes action to prevent undesirable appointment cancellations due to exams not being authorized; works with billing to resolve any insurance denials.
• Performs other duties as assigned.

Skills

Customer service

Telephone handling

Computer terminals

Education

High School Diploma or equivalent

Job description

Job Details

Job Location: E003 - DIS Gateway - El Paso , TX 79915

Position Type: Full Time

Responsibilities

• Verifies insurance coverage for patient exams, makes written and/or verbal inquiries to third party payers to verify insurance status and pre-certification status
• Stays abreast of patients added throughout the day and insures authorizations are processed prior to exam.
• Performs various administrative tasks to expedite the verification process, including documentation of guarantor information, patient information and protocols, and medical record reproduction.
• Participates in educational programs, in-service meetings, and workshops.
• Maintain patient confidentiality is crucial.
• Demonstrates exemplary telephone etiquette skills.
• Works closely with all centers to make sure all patients are authorized before doing exam.
• Calculates patient fees and explains fees to patients; sets up payment plans and gets approval from supervisor as needed; notifies patient of change in authorization.
• Works with Physician offices to: o clarify physician’s orders; o clinical records for authorizations o obtains the appropriate procedure code and o enters into the medical system; obtains.
• Recognizes variations and takes action to prevent undesirable appointment cancellations due to exams not being authorized; works with billing to resolve any insurance denials.
• Performs other duties as assigned.

Qualifications

• High School Diploma or equivalent;
• Minimum of one (1) year of customer service experience required.
• One (1) year experience working in a medical related office preferred.
• Experience and knowledge in handling telephones, computer terminals.