What are the responsibilities and job description for the Precertification Specialist - Neuro-Interventional Radiology position at University Physicians' Association?
Description
University Physicians' Association is looking for a full-time Precertification Specialist for Neuro-Interventional Radiology, a busy specialty practice office located within the UT Medical Center.
POSITION SUMMARY
With customer service orientation, verifies patient's insurance benefits and eligibility, obtains required authorization, provides procedure codes and fee estimates, and collects prepayment from patients when appropriate.
ESSENTIAL RESPONSIBILITIES
- Greet patients in friendly and timely manner
- Ensure that patients complete necessary forms required for the electronic health record and billing office
- Maintain patient demographic and insurance information; verifies insurance eligibility and collects co-pays
- Ensures good patient flow through practice by timely processing of patients as they arrive at front office
- Answer patient inquiries regarding patient registration information or billing questions
- Refers patient inquiries regarding medical care or treatment to medical assistant or physician
- Schedules patients with appropriate physician
- Document scanning into electronic health recordMonitor scheduled procedures and maintain organized list with status of pre-certification process.
- Verify insurance eligibility and benefits via phone and/or internet access.
- Check insurance payment policy for scheduled procedures and obtain prior authorization when required.
- Verify receipt of all necessary pre-authorization documents prior to procedure.
- Communicate effectively with the staff in which the procedure will be performed as needed.
- Assign appropriate ICD10 and CPT codes.
- Perform other duties or functions as assigned.
Full benefit package including PTO, Sick Leave, Medical, Dental, Vision, STD, LTD, Life Insurance, 401k with company match and immediate vesting, Critical Illness, and more!
Requirements
Education, Training and Experience:
- Professional coding certification or minimum of two years' experience preferred, must have insurance verification experience.
Specific skills, knowledge and abilities:
- Presents a strong professional appearance
- Strong verbal communication skills
- Working knowledge of medical billing and managed care
- Familiarity with different insurance types
- Highly organized and self-motivated
- Microsoft Office and Windows based computer applications
