Pre-Certification Representative, Per Diem

Description

AMI is seeking a Per Diem Pre-Certification / Pre-Service Representative to join the team.  This remote position will include some on-site training in AMI offices.  Flexible shifts with the opportunity to work up to 20 hours per week during high volume.  Some availability during business hours is required.

The Pre-Certification / Pre-Service Specialist is responsible for ensuring that all outpatient insurance requirements are completed in advance of patient’s scheduled appointment date.  The team works directly with AMI's referring provider offices.

• Ensures authorizations are obtained through the insurance portals (e.g. Evicore, etc.) on behalf of physician practices that are registered with the AMI Pre-Authorization Service, when applicable, prior to the patient's scheduled procedure/testing date.

This Per-Diem position is remote and includes flexible shift times during the week.  Some availability during regular business hours is required.

Qualifications

Candidates must have a high school diploma or equivalent.  Intermediate computer skills, with a working knowledge of the Microsoft Office Suite is required.  Candidates must have a demonstrated knowledge of insurance plans and the authorization process.  A knowledge of and familiarity with medical terminology, ICD-10, and CPT coding is strongly preferred.

Additionally, candidates must have the ability to remain highly organized with accounts, work independently, and receive & implement direction as provided, with minimal supervision.  The ability to remain detail oriented while managing a high volume of requests is required.

Exceptional interpersonal, verbal & written communication, and customer service skills are required for success in this position.  These skills must be maintained in a fast-paced environment, while maintaining a professional demeanor and providing exceptional service to patients and referrers.

EOE