What are the responsibilities and job description for the Precertification Clerk position at Gastrointestinal Associates, P.C.?
www.gihealthcare.com
Precertification Clerk
We are currently searching for a full time (Monday-Friday) Precertification Clerk who can work cooperatively with team members and physicians while performing a variety of tasks. Precertification experience is not required but valued.
Responsible for reviewing patient insurance records and determining the need for referrals and precertification for procedures. Additionally, responsible for verification of patient insurance benefits (if not already completed).
Key Responsibilities Include
- Obtains a Verification of Benefit (VOB) form for every patient.
- Obtains referrals and precertifications on every service as required.
- Reviews referrals. Verifies that visits have not exceeded patient’s insurance limit. Additionally, obtain new referrals when necessary.
- Obtains authorizations for infusion patients, updates insurance and re-verifies medicine dosage changes.
- Calls patients for insurance information not obtained when originally scheduled.
- Maintains patient’s rights to privacy by not discussing privileged information outside the work area (HIPAA Laws).
- Assists with Quality Assurance Performance Improvement (QAPI) program as directed.
- Maintains flexibility and performs other duties as directed by the Billing Supervisor.
JOB REQUIRMENTS:
- Experience in the medical field and medical terminology preferred.
- Ability to comply with patient confidentiality.
- Maintains a neat and professional appearance.
- Strong oral and written communication skills.
- Excellent time management skills (organizational and problem solving skills).
Reports to Billing Office Manager
Job Type: Full-time
Pay: From $18.00 per hour
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Education:
- High school or equivalent (Required)
Experience:
- Medical Billing: 1 year (Required)
Ability to Commute:
- Powell, TN 37849 (Required)
Work Location: In person
Salary : $18