PRECERT SPECIALIST | MONTGOMERY, AL

Job Description

Job Description

Responsibilities:

• Verify patient insurance coverage when obtaining precertification.
• Obtain insurance precertification through insurance portal or phone call for all tests that require it such as MRIs, CTs, and DEXA scans.
• Obtain insurance precertification for injections ordered by providers if the insurance policy requires it.
• Obtain insurance approval for Tricare Prime patients requiring physical therapy at a facility other than SOS.
• Work with the check-in and check-out staff to cancel appointments when necessary if tests or injections are not approved.
• Schedule follow up appointments or consults with other physicians in our practice.
• Send prescriptions electronically to patients’ preferred pharmacy.
• Instruct patients where to have any lab work or testing done when ordered by a provider.
• Answer incoming phone calls and direct patient questions to the correct department when needed.
• Obtain and enter referrals for Medicaid, Tricare, certain Blue Cross Blue Shield policies, and any other insurance policies that require them when needed.
• Collect, count, and turn in any monies owed and/or appropriate receipts daily.
• Relay messages to physicians when necessary to complete patient requests.
• Record comments in patient charts to ensure good communication and understanding for all departments on issues as they arise.
• Help other departments and your supervisor with tasks assigned or requested to ensure a cohesive teamwork environment.
• Comply with all HIPPA rules when dealing with patients and patient information.

Job Skills:

Required

Outstanding customer service skills.

Ability to work in a team.

Ability to multi-task.

Good verbal and written communication skills.

Positive and cooperative attitude toward coworkers, management, patients, visitors, and physicians.

Promote a professional image for the facility to the public.

Good computer and typing skills.

Ability to work in multiple computer programs, use fax machines, printers, and phones.

Ability to solve problems independently.

Accurate, close attention to detail, organized, and punctual.

Completes duties in a timely manner.

Shows initiative and dependability.

Adheres to the Employee Handbook code of conduct.

Self-motivated to perform job duties with minimal supervision.

Preferred

Familiarity with PM and EHR computer systems

Knowledge of HIPAA rules

Medical receptionist experience

Customer service experience

Additional Notes:

Hours: 7:45 am- 5:00 pm