What are the responsibilities and job description for the PRECERT SPECIALIST position at Mid State Orthopaedic & Sports Medicine Center?
Essential Job Duties:
Handles precertification procedures pertaining to patients by collecting insurance information and entering information into EHR system.
Verifies insurance benefits/coverage by contacting insurance companies; obtains insurance information for precertification for procedure; works with insurance company, health care provider & patient to get claims processed & paid.
Answers patient inquiries in a professional & courteous manner.
Records benefit and certification information into the applicable computer system and communicates with scheduling in accordance to established work processes.
Performs other duties as assigned.
Education:
High School Diploma or equivalent required.
1 – 2 years' experience in medical or related field
Additional Requirements:
Knowledge of medical terminology and procedures, knowledge of health insurance industry practices and/or medical billing procedures.
Experience with medical scheduling/billing systems preferred.
Exceptional customer service, interpersonal skills, and communication skills
Proficiency of electronic records systems preferred. Must have strong data entry skills.
Must be able to complete tasks with a high-degree of efficiency and accuracy while working in a fast-paced environment with frequent disruptions.
Must demonstrate ability to analyze data and resolve complex problems.
Must have the ability to work independently while managing time and workload appropriately.
