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Our Team
Our employees make a difference in the lives of our patients and our community. We've built a culture of excellence based on compassion, care and collaboration. At EPGI, our goal is for an inclusive and engaging employee experience where people feel they belong and their work matters. We offer competitive pay to motivate and retain the best talent, and a full range of benefits to our employees.
Our Practice
Whether a patient is experiencing GI symptoms for the first time, or have been previously diagnosed with a disease of the digestive system, Eastern Pennsylvania Gastroenterology and Liver Specialists (EPGI) and our highly trained, board-certified physicians and staff are able to address our patient needs with the most up to date treatment options and perform the most state-of-the-art procedures with compassion and care.
Our practice is currently seeking a full-time Payment Posting Specialist to join our team!
Job Title: Precertification Specialist
Department: Precertification Department/ Billing Department
Immediate Supervisor Title: Billing Manager
Job Supervisory Responsibilities: None
General Summary: This position collaborates with physicians and provider office staff directly in ascertaining the appropriate authorization based on medical necessity and the treatment plan provided. Verify/obtain additional clinical information and insurance authorizations/referrals. Communicates direct/indirect with insurance companies to obtain insurance verification and precertification for approval. The Precertification Specialist is also responsible for the verification of eligibility and benefits of medical insurance, documenting the information into the software system and communication of patient liability to the patient and providers.
Essential Job Responsibilities:
Review scheduled appointment charts to determine need for referral
Obtain pre-authorization for scheduled radiology and endoscopic procedures
Ability to handle phone calls from patients, insurance companies, other providers, and health care facilities
Ability to accurately enter all referrals into the practice management system
Ability to check insurance web sites for referral copies
Education: High School diploma/GED
Experience: Minimum one year of experience in a medical practice setting
Preferred Qualification Requirements:
Knowledge:
Skills:
Abilities:
Equipment operated:
Computer hardware/software including Practice Management and Electronic Medical Record software
Work Environment:
Office setting, well lighted. Good air quality. No direct, face-to-face contact with patients.
Mental & Physical Requirements:
Mostly sedentary with some standing, walking, reaching, bending, pushing and lifting up to fifteen (15) pounds.
Full Time
$37k-45k (estimate)
05/02/2024
05/15/2024
The following is the career advancement route for Precertification Specialist positions, which can be used as a reference in future career path planning. As a Precertification Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Precertification Specialist. You can explore the career advancement for a Precertification Specialist below and select your interested title to get hiring information.