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Pre-Certification Spec - SFOI in Columbus, GA at St. Francis Hospital

Date Posted: 2/4/2019

Job Snapshot

Job Description

St Francis Hospital

Responsiblefor collecting and entering complete and accurate demographic and insuranceinformation prior to the patient’s arrival. Verifying that thepre-certification requirements of the insurance companies have been met.  Verifying the benefits coverage andquantifying the patient liability portion. Contacting the patient the day before arrival to remind them of theappointment, set the expectation for payment, and answer any questions thepatient may have.

Job Requirements

Minimum Education: High school diploma or equivalent required

Required Skills: Requires critical thinking skills, decisive judgment andthe ability to work with minimal supervision. Must be able to work in astressful environment and take appropriate action.

Certifications: HFMA’s CertifiedPatient Account Representative (CPAR) designation

Minimum Work Experience: Minimum one (1) year in customer service focusedenvironment. Computer, data entry experience. Familiar with Third Party PayersUtilization Management Requirements for Outpatient Procedures. Must possess anunderstanding of Medical Terminology and diagnostic procedures. Previousscheduling or medical diagnostic department experience.

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