7 Jobs in Moraine, OH
Premier Health Partners is Hiring a PRE-CERTIFICATION SPECIALIST Near Moraine, OH
The Pre-Certification Specialist must demonstrate Customer Focus and expert Functional/Technical Skills while providing pre-certification evaluation of each scheduled inpatient or outpatient patient case. The Pre-Certification Specialist must comprehend the clinical aspect of the chart and how to apply it to ensure authorization of the accounts. The Pre-Certification Specialist is required to maintain excellent customer service standards at all times in order to effectively communicate with physicians, physician offices, insurance representatives, patients, and co-workers. Pre-Certification Specialists are required to efficiently perform all duties while ensuring patient confidentiality and privacy rights.
Education: High school diploma or GED required. Associate Degree in related healthcare or
business field preferred.
Certification: Medical Terminology Certification preferred.
Experience: Two years of Patient Access, Health Information Management, Physician Office, Billing, Collections or Compliance experience required. Applicable class work may be substituted for previous work experience.
Two Years of previous insurance experience and/or pre-certification experience preferred.
- Demonstrate knowledge of medical terminology and basic anatomy/physiology.
- Equivalent combination of education and experience will be considered.
- Ability to perform a variety of tasks, often changing assignments on short notice.
- Must be adept at multi-tasking, organizing, priority, and time management.
- Will be required to learn and work with multiple software/hardware products to be used during the course of an average work day.
- Must possess excellent communication skills, both verbal and written.
- Most possess excellent telephone skills.
- Must be able to maintain a professional demeanor in stressful situations.
- Must be adept with machinery typically found in a business office environment.
- Able to build productive relationships with all contacts.
- Must have analytical skills to resolve simple to semi-complex problems.
- Must be proficient in Windows-based computer technology, including keyboarding and typing at least 35 wpm.
Job Summary
Full Time
Retail
$49k-68k (estimate)
06/09/2024
07/06/2024
premierhealth.com
LEBANON, OH
3,000 - 7,500
1995
LISA DUNCAN
$200M - $500M
Retail
Related Companies
About Premier Health Partners
At Premier Health, our physicians, staff members and volunteers have focused on our mission to provide quality, accessible and compassionate health care for more than a century. This is our commitment to you now and in the future. As the largest health system in Southwest Ohio, Premier Health offers services at over 70 sites including Miami Valley Hospital, Miami Valley Hospital South, Miami Valley Hospital North, Atrium Medical Center, and Upper Valley Medical Center, providing care throughout a large geographical region. Recognized by many independent health care rating agencies, Premier Hea ...
lth has earned numerous distinctions through the years. Our 2,300 physicians and 14,000 employees are here to serve you and your family. Our values of respect, integrity, compassion and excellence are the very foundation of our service. We strive to continuously improve and enhance this service to meet the needs of each individual and their family members and consider it a privilege to do so. We will build healthier communities with others who share our commitment to provide high-quality, cost-competitive health care services.
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The following is the career advancement route for PRE-CERTIFICATION SPECIALIST positions, which can be used as a reference in future career path planning. As a PRE-CERTIFICATION SPECIALIST, it can be promoted into senior positions as a Member Certification Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary PRE-CERTIFICATION SPECIALIST. You can explore the career advancement for a PRE-CERTIFICATION SPECIALIST below and select your interested title to get hiring information.
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