1+ months

PRE-CERTIFICATION SPECIAL

HealthcareSource
Minot, ND 58701
  • POSITION SUMMARY
    • The Pre-Certification Specialist is responsible for obtaining insurance authorization and insurance benefit eligibility verification for patients at Trinity Health in a prompt and accurate manner. The Pre-Certification Specialist ensures that authorization is obtained when needed for the length of the hospital stay and/or outpatient services. This position works collaboratively as part of the revenue cycle program to ensure clinical services are authorized based on insurance payer guidelines to minimize the reimbursement risks associated with providing care to patients.
  • MINIMUM QUALIFICATIONS AND REQUIREMENTS
    • Licenses and Certifications Required
      • None
    • Educational Requirements
      • High School diploma or equivalent preferred.
    • Experience Requirements
      • Experience with third party payer billing regulations, reimbursement requirements, precertification, insurance eligibility verification, and/or utilization management is preferred.
      • Working knowledge of CPT/ICD10 and medical terminology is preferred.
    • Special Skills or Training Requirements
      • Demonstrated advanced communication and interpersonal skills with all levels of internal and external customers.
      • Self-directed, attention to detail.
      • Computer experience.
      • Working knowledge of Microsoft Office Suite applications including Outlook, Word and Excel.
      • Excellent written and oral communication skills.
      • Ability to handle high workload volume.
      • Must be flexible and demonstrate ability to be adaptable.

Categories

Posted: 2022-03-31 Expires: 2022-06-29

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

PRE-CERTIFICATION SPECIAL

HealthcareSource
Minot, ND 58701

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast