Pre-Certification Specialist \/ Business Office \/ FT
Frisco, Texas
Employer: Baylor Scott & White Medical Center – Frisco
Industry:
Salary: Competitive
Job type: Full-Time
Responsibilities include updating patient demographic information, verifying insurance benefits, and obtaining authorization/precertification as needed. Responsibilities also include determining and notifying patients in advance of upfront collections.
Qualifications:
- High school graduate or equivalent.
- One year of previous experience in hospital insurance pre-certification is required.
- Must have the skills necessary to operate the office equipment required to fulfill job duties.
- Forty-five (45) wpm typing skills required.
- Registrations Medical terminology and computer experience are beneficial.
- Good communication skills.
- Knowledge/Skills/Abilities Good organizational skills.
- Knowledgeable of insurance benefits terminology.
- Enters patient's demographic information timely and accurately.
- Verifies patient's insurance.
- Obtains precertification and authorization numbers for scheduled procedures.
- Works closely with surgery scheduler.
- Informs patients of their benefits and any upfront collections.
- Supports hospital and department policies, Department Director, and hospital Administration.
- Lends knowledge and assistance to other hospital departments, physicians office and co-workers.
- Communicates effectively and expresses ideas clearly; actively listens and follows appropriate communication channels.
- Direction and assistance provided to patients, family members, and co-workers are always courteous and positive. Communicates professionally at all times.
- Knows and adheres to hospital and departmental policies. Is adaptable and cooperates with changes in assignments, procedures, and personnel.
- Maintains skills on equipment necessary to complete required responsibilities. Uses supplies and equipment properly and economically and reports necessary repairs promptly.
- Reflects professionalism in performing duty and knowledge of procedures necessary to produce the desired effect.
- Notifies physician offices of any unauthorized procedures promptly.
- Participate in the USPI EDGE program.
- As assigned by the Business Office Director.
- Notifies the Business Office Director promptly of issues/concerns.
Created: 2024-08-22
Reference: ZdOp8U1TpyvV
Country: United States
State: Texas
City: Frisco
ZIP: 75034
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