Post Date 1/8/2020
Title Medical Precertification Rep
Department UN-NNA-White Pond
City Akron
Work Hours Days
Scheduled Hrs 40
Description 1. Responsible for obtaining referrals and authorizations from insurance payors for all patient visits, diagnostic testing, surgeries and hospital admissions.
2. Verifies eligibility of patient insurance information.
3. Verifies benefits and coordinate collection of amount due from patient.
4. Work with physicians, administrative and clinical staff to coordinate procedures and criteria needed to meet insurance company precertification requirements.
Requirements 1. Education and Training:

High School Diploma or equivalent required.

2. Experience:

• Two (2) years experience in medical insurance verification and other hospital finance areas.
• Knowledge of verification requirements for Medicare, Medicaid, commercial insurance, managed care plans, workers compensation and other third party payors.

3. Other Skills, Competencies and Qualifications:

• Excellent oral and written communication skills required.
• Ability to pass medical terminology test administered by HR.
• Ability to pass data entry alpha numeric test administered by HR.
Apply On-line
Send This Job to a Friend