Pre Cert Rep, Huntsville Hospital Arab Location, Full time, Mon Fri 8am 4:30pm

Overview

The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.

Position Summary: A Precert Rep is placed inside a high volume Call Center to schedule and pre-authorize diagnostic testing. Their daily routine varies depending on the needs of the department. They ensure that imaging procedures are scheduled correctly and are authorized in accordance with payer requirements to support timely patient care, reduce denials, and maintain compliance with hospital and insurance guidelines.

Primary Responsibilities:

• Schedules patients at physician request for diagnostic services
• Verifies insurance coverage for services as well as whether a pre-auth is required - obtaining the pre-auth as needed
• Communicates appointment information and preparation instructions to patients
• Communicates with referring providers to ensure all clinical documentation needed is available at time of appointment
• Maintains requested statistics, clinical documentation, and reports

Qualifications

This position requires, at minimum, a high school diploma or GED. Prior experience in the healthcare environment and/or customer service is preferred. A working knowledge of computers and systems to include Microsoft Word, Excel, and Outlook are necessary. This position requires the ability to communicate in a pleasant, professional, concise, and caring manner. It also requires critical thinking and problem solving to ensure the best care possible for our patients.