What are the responsibilities and job description for the Pre-Certification II - Patient Access Pre Clrnc - Miamisburg - FT/Days position at Kettering Health?
Overview
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Campus Overview
Kettering Health Miamisburg
- Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.
- Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.
- The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care.
- Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning.
- 142 bed facility
- Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.
- In 2020, KH Miamisburg received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
- Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
- KH Miamisburg received several awards from Healthgrades:
- Outstanding Patient Experience Award (2017-2019)
- America’s 100 Best Hospitals for Prostate Surgery Award (2020)
- Joint Replacement Excellence Award (2020)
Department Overview
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
Responsibilities & Requirements
KNOWLEDGE AND SKILLS REQUIRED:
Preferred Qualifications
QUALIFICATIONS AND EXPERIENCE:
- High school diploma required
- One-year customer service experience required.
- Previous registration/medical/billing office experience preferred.
- Demonstrated competency in working in teams and ability to effectively communicate with all levels.
- Proficient in computer skills and phone skills.
- Ability to function in high paced often stressful environment and/or circumstances while maintaining a respectful, caring and professional manner.
- Must have the ability to perform as a collaborative team member.
- Able to understand and maneuver through clinical documentation in EPIC and payer portal
