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Pre-Cert Specialist, PRN - St. Francis Orthopedic Institute in Columbus, GA at St. Francis Hospital

Date Posted: 1/1/2019

Job Snapshot

Job Description

St Francis Hospital

Job Summary:
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.

Job Requirements

Minimum Education:
  • High school diploma
Minimum Work Experience:
  • Minimum one year in customer service focused environment.
  • Computer, data entry experience preferred.
  • Familiar with Third Party Payers Utilization Management Requirements for Outpatient Procedures
  • Familiar with Third Party Payers Claims Adjudication Processes
Licenses/Certifications:
  • HFMA’s Certified Patient Account Representative (CPAR) designation desirable.
Knowledge, Skills, and Abilities:
  • Computer data entry experience required
  • Strong telephone and interpersonal communication skills
  • Outstanding customer service skills
  • Ability to cope in stressful situations
  • Ability to successfully complete multiple tasks simultaneously.
  • A general knowledge of medical terminology

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran