What are the responsibilities and job description for the Pre-Certification Specialist position at Axia Women’s Health?
Job Details
Description
Axia Women’s Health, recognized as aGreat Place to Workfor a 2nd year in a row, our vision is to lead the way in improving women's health. At the core of achieving this is a caring, connected, and progressive community of 500 providers across nearly 200 women's health centers in New Jersey, Pennsylvania, Indiana, Ohio, and Kentucky. The rapidly growing network spans OB / GYN physicians, breast health centers, high-risk pregnancy centers, two laboratories, urogynecology care, and fertility centers. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives. Full time position located in Voorhees, NJ Fulltime precertification / schedule builder M-F 8-4 : 30
We are currently recruiting a Pre Certification Specialist to join us at OBGYN of East Brunswick care center in East Brunswick, NJ. Position is Fulltime position, Monday- Friday. We have two care centers with our practice, this position is based out of our East Brunswick location. Care Center consisting of five providers and one physician assistant.
The Precertification Specialist will be responsible for a variety of tasks regarding verifying, checking eligibility of benefits, and obtaining authorization for patients, activating patient files, and for providing support to patients and medical staff. Job duties include but are not limited to :
- Promptly and professionally answers telephone calls (as well as retrieve messages that are received via answering service). Route calls appropriately, offering voicemail, paging, or redirection of calls as needed.
- Scanning patient documents into the EHR system appropriately.
- Explain financial requirements to patients; collect and record transactions as required.
- Obtaining precertification's from insurance payors for onsite ultrasounds, various testing, and procedures.
- Perform registration functions for new and existing patients.
- Check patient balances for next day appointments and document in patient charts accordingly.
- Coordinate and screen outside referrals for insurance needs
- Complettion of DIsbialyt / FMLA / Letters for patients
- Additional internal administrative duties pertaining to eligibility, authorization, insurance as assigned.
- Schedule patient appointments per guidelines given, and finalize patient schedules for previous day.
- Cross train for providing coverage for surgical scheduler, and obtaining authorizations for such outpatient cases.
- Maintain confidentiality regarding all patients.
- Adhere to infection control / safety guidelines and confidentiality policies through HIPAA compliance.
- Other duties as assigned.
Qualified candidates can :
Full Time Benefits Summary
At Axia Women’s Health, we’re passionate about creating a community where our colleagues and patients feel empowered to be their full, authentic selves. We welcome all individuals – without regards to gender, race, ethnicity, ability, or sexual orientation – and proudly celebrate our individual experiences and differences
Salary : $8
