Precertification Specialist

Baptist Health - Central Alabama; Montgomery (AL); On-site; USD 36,000 - 52,000; Full time

Job summary

Baptist Health - Central Alabama is seeking a Precertification Specialist to obtain pre-certification for outpatient and office procedures, schedule procedures, and precertify. The role assists patients with questions about insurance or eligibility and communicates effectively with physicians and staff.

You will contact third-party payers promptly and notify team members of a member's procedures needs, ensuring accurate records and smooth coordination across departments.

Qualifications

• High School diploma or equivalent.
• Two years clerical experience.
• Healthcare experience preferred.

Responsibilities

• Obtain pre-certification for outpatient and office procedures.
• Schedule procedures and precertify.
• Answer questions regarding insurance or eligibility.
• Communicate with physicians and staff.
• Contact third-party payers in a timely manner.

Skills

Body mechanics

Communication

Typing

Medical terminology

Multitasking

Record keeping

Customer service

Time management

Education

High School diploma or equivalent

Nursing Assistant program certification

Job description

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties.

To learn more about Baptist Health, visit us at https://www.baptistfirst.org.

Highlights

Summary

The Pre-Certification Specialists is responsible for obtaining pre-certification of outpatient and office procedures. To schedule all procedures and to precertify. Assists patients with questions regarding insurance or eligibility and communicates effectively and efficiently with physicians and staff. Responsible for contacting third party payers in a timely fashion and provide notification of a member's need for procedures.

Education / Experience

High School diploma or equivalency required. Two years clerical experience required. Experience by previous training or certification from an approved Nursing Assistant Program preferred. Experience in healthcare services is preferred.

License / Certification

None

Knowledge, Skills, and Abilities

• Knowledge of body mechanics and basic safety, principles of physical care and comfort.
• Ability to use accurate spelling and proper grammar.
• Strong oral and written communication skills.
• Typing, Computer and Telephone skills.
• Ability to manage multiple tasks efficiently.
• Ability to maintain complete and accurate records.
• Ability to communicate and understand medical terminology.
• Ability to prioritize workload to achieve maximum efficiency.
• Ability to effectively communicate with people of various backgrounds throughout the organization.
• Ability to provide a positive customer service experience to guest, visitors, and patients.
• Ability to coordinate task and work within time constraints.

Working Conditions/Physical Requirements

Position requires sitting for 80% of the workday and mobility 20% of the workday. There is occasional stooping, bending, kneeling, and crouching. There is frequent reaching, use of hands and repetitive action. Requires occasional lifting or carrying up to 25 pounds, pushing/pulling up to 150 pounds. There is a continuous need for speaking with clear diction and hearing sensitivity in conversation either by phone or in person. Continuous visual acuity at close and distant range. Inside protected from weather conditions but not necessarily from temperature changes. Minimal noise levels. Much exposure to computer work. Occasional exposure to risk of electrical shock. Some exposure to infectious disease while performing job-related tasks. Some exposure to hazardous chemicals. Occasional exposure to radiation.

Primary Location:

UAB Endocrinology

Job

Precertification Specialist

Precertification Specialist

Job Type

Regular-Full time

Shift

First Shift (United States of America)