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1 Pre-Certification Specialist Job in Columbus, GA

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St. Francis Emory Healthcare
Columbus, GA | Other
$52k-75k (estimate)
1 Month Ago
Pre-Certification Specialist
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$52k-75k (estimate)
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St. Francis Emory Healthcare is Hiring a Pre-Certification Specialist Near Columbus, GA


Description

Responsible for collecting and entering complete and accurate demographic and insurance information prior to the patient’s arrival. Verifying that the pre-certification requirements of the insurance companies have been met. Verifying the benefits coverage and quantifying the patient liability portion. Contacting the patient the day before arrival to remind them of the appointment, set the expectation for payment, and answer any questions the patient may have.

FLSA: Non-exempt

EEO: □ 01 Officials and Managers □ 02 Professionals □ 03 Technicians □ 04 Sales Workers X 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service Workers

Qualifications

Minimum EducationX High school diploma or equivalent X Required

Required SkillsRequires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Certifications:X HFMA’s Certified Patient Account Representative (CPAR) designation- preferred

Minimum Work ExperienceMinimum one (1) year in customer service focused environment.

Computer, data entry experience.

Familiar with Third Party Payers Utilization Management Requirements for Outpatient Procedures.

Must possess an understanding of Medical Terminology and diagnostic procedures. 

Previous scheduling or medical diagnostic department experience

Job Summary

JOB TYPE

Other

SALARY

$52k-75k (estimate)

POST DATE

04/21/2023

EXPIRATION DATE

06/15/2024

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The following is the career advancement route for Pre-Certification Specialist positions, which can be used as a reference in future career path planning. As a Pre-Certification Specialist, it can be promoted into senior positions as a Member Certification Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Pre-Certification Specialist. You can explore the career advancement for a Pre-Certification Specialist below and select your interested title to get hiring information.