What are the responsibilities and job description for the Preauthorization Center, Specialist - Pre-Cert Division position at UAB Medicine?
Position Description
Schedule: Monday-Friday 8:30a-5pm
Location: Remote
Benefits include: 100% tuition assistance, wellness initiatives, generous paid time off, paid parental leave, Public Service Loan Forgiveness Program eligible employer, plus more. In addition to our many benefits and perks, UAB Medicine provides a variety of resources to support employees both personally and professionally.
Reviews databases and other pertinent documentation to ensure all needed pre-certifications and/or authorizations are completed for medical services. Works with all clinics and appropriate ancillary departments to ensure requirements are met through training, education and consultation. Must be familiar with and remain current of insurance carriers and requirements to include a working knowledge of referral and pre-certification processes and medical necessity guidelines. Must demonstrate exceptional customer service to patients, referring sources both internal and external. This position requires the ability to effectively communicate information to the patient related to testing, required preparations, and financial obligations.
Employee is required to work remotely after initial orientation.
Position Requirements
EDUCATION AND EXPERIENCE:
Required: High school diploma or GED. One (1) year of experience in Medical Billing or Authorization. Knowledge of insurance carriers, regulations, and processes with a desire to expand knowledge base. Strong work ethic to assure patient satisfaction in conjunction with protection of revenue for the organization. Extensive knowledge of Medical terminology and abbreviations. Basic computer skills. Knowledge of Common Procedural Terminology (CPT); ICD-10.
Must: (1) Attend all required course work assigned by management; (2) possess basic knowledge of medical terminology and advanced knowledge of PC applications, software, and database management; (3) be able to perform math & bookkeeping skills; (5) possess exceptional telephone & customer service skills; and (5) be knowledgeable of English grammar & punctuation.
Preferred: Medicare and Medical Policies for other insurance carriers; documentation guidelines for medical service provision. Undergraduate degree in administration or in a health related field; 1-3 years IDX experience.
1-3 years medical coding.
Employee Must Provide
Required: None
Preferred: Certified Procedural Coder (CPC) certificate
TRAITS & SKILLS: Must be self-directed / self-motivated; must have good communication and interpersonal skills. Must be able to: (1) perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure; (2) accept responsibility for the direction, control and planning of an one’s own work; (3) work independently; (4) recognize the rights and responsibilities of patient confidentiality; (5) relate to others in a manner which creates a sense of teamwork and cooperation; (6) communicate effectively; (7) exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; (8) demonstrate the quality work ethic of doing the right thing the right way.
UA Health Services Foundation (UAHSF) is proud to be an AA/EOE/M/F/Vet/Disabled employer.
Schedule: Monday-Friday 8:30a-5pm
Location: Remote
Benefits include: 100% tuition assistance, wellness initiatives, generous paid time off, paid parental leave, Public Service Loan Forgiveness Program eligible employer, plus more. In addition to our many benefits and perks, UAB Medicine provides a variety of resources to support employees both personally and professionally.
Reviews databases and other pertinent documentation to ensure all needed pre-certifications and/or authorizations are completed for medical services. Works with all clinics and appropriate ancillary departments to ensure requirements are met through training, education and consultation. Must be familiar with and remain current of insurance carriers and requirements to include a working knowledge of referral and pre-certification processes and medical necessity guidelines. Must demonstrate exceptional customer service to patients, referring sources both internal and external. This position requires the ability to effectively communicate information to the patient related to testing, required preparations, and financial obligations.
Employee is required to work remotely after initial orientation.
Position Requirements
EDUCATION AND EXPERIENCE:
Required: High school diploma or GED. One (1) year of experience in Medical Billing or Authorization. Knowledge of insurance carriers, regulations, and processes with a desire to expand knowledge base. Strong work ethic to assure patient satisfaction in conjunction with protection of revenue for the organization. Extensive knowledge of Medical terminology and abbreviations. Basic computer skills. Knowledge of Common Procedural Terminology (CPT); ICD-10.
Must: (1) Attend all required course work assigned by management; (2) possess basic knowledge of medical terminology and advanced knowledge of PC applications, software, and database management; (3) be able to perform math & bookkeeping skills; (5) possess exceptional telephone & customer service skills; and (5) be knowledgeable of English grammar & punctuation.
Preferred: Medicare and Medical Policies for other insurance carriers; documentation guidelines for medical service provision. Undergraduate degree in administration or in a health related field; 1-3 years IDX experience.
1-3 years medical coding.
Employee Must Provide
- High speed internet access
- Dedicated, secure and safe work space
- Noise-free environment to take patient calls
Required: None
Preferred: Certified Procedural Coder (CPC) certificate
TRAITS & SKILLS: Must be self-directed / self-motivated; must have good communication and interpersonal skills. Must be able to: (1) perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure; (2) accept responsibility for the direction, control and planning of an one’s own work; (3) work independently; (4) recognize the rights and responsibilities of patient confidentiality; (5) relate to others in a manner which creates a sense of teamwork and cooperation; (6) communicate effectively; (7) exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; (8) demonstrate the quality work ethic of doing the right thing the right way.
UA Health Services Foundation (UAHSF) is proud to be an AA/EOE/M/F/Vet/Disabled employer.
