What are the responsibilities and job description for the Pre-Certification I -Patient Access Pre Clrnc - Miamisburg - FT/Days position at Kettering Health?
Responsibilities & Requirements
JOB SUMMARY:
This network-wide position, under the direction of the Pre-Access Manager, Kettering Health, is responsible to facilitate the patient intake process by obtaining and validating precertification’s on scheduled outpatient services, sleep studies, radiation oncology, elective scheduled surgeries and/or additional services as needed. The Representative reviews insurance verification and obtains/validates precertification information when required at each encounter to ensure accurate and complete billing. This highly visible position must be aware of the importance and impact this position has on KH denial and public relations. The representative provides exceptional customer service to our patients, providers and all other departments and is always expected and required to be exhibited
Demonstrates through behavior Kettering Health’s mission, vision and services standards as outlined in the organization’s training.
Maintain competence and use critical thinking skills to promptly resolve consumer inquires within assigned functional area(s).
Demonstrates successfully to resolve customer inquiries
Adhere to all established workflows, scripting, and department greetings
Create delightful customer experience by setting proper expectations and consistently following through with end- users
Documents all interactions and consistently update consumer records in the relevant technology system(s)
Demonstrates appropriate customer-care skills such as empathy, active listening, courtesy, politeness, helpfulness and other skills as identified to a variety of customers including consumers, clinic staff, physicians, Pre-Access colleagues, and leaders
Achieves individual key department performance objectives such as quality assurance and productivity.
Maintain knowledge of Pre-Access and Kettering Health offerings to provide exceptional services
Handle sensitive matters courteously and with professionalism. When appropriate, escalate with leadership for proper awareness and/or resolution.
Adhere to department policies and procedures and HIPAA regulations
Perform other duties as assigned by department leaders
KNOWLEDGE AND SKILLS REQUIRED:
Ability to articulate the mission of Kettering Health and Pre-Access
Strong attention to detail and ability to take initiative to resolve inquiries and issues
Demonstrated personal commitment to promoting and providing excelled customer service
Demonstrated interpersonal, customer relations, and communication skills; remains patient while interacting with consumers and colleagues
Exhibits desire to continuously learn, improve service delivery, and work in a team environment
Ability to listen and document notes simultaneously
Ability to read, analyze, and interpret verbal and written instruction
Maintains high energy and positive attitude
Ability to remain calm under pressure
Adapts to change and balances multiple priorities in a fast-paced environment
Demonstrates regular, consistent and punctual attendance
Effective communicator in English, both orally and in writing
Computer Proficiency: Microsoft Office Suite programs and basic keyboard typing skills
Technological aptitude to accomplish additional programs and technologies, including CRM, telephony, electronic health records, and other potential systems
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