Pre-certification Associate - Hershey, United States - Penn State Health

Mark Lane

Posted by:

Mark Lane

beBee recruiter


Description

Penn State Health:

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Penn State Health Corporation

Location:
US:PA:Hershey


Work Type:
Full Time


FTE:1.00


Shift:
Day


Hours:8:00a - 4:30p


SUMMARY OF POSITION:

Responsible for providing patient registration, CPT/ICD 9 codes and insurance verification.

Registration responsibilities include completing the appropriate registration for the services the patient will be receiving, maintaining encounter integrity by selecting the appropriate billing number to produce the visit, verifying patient demographic and insurance information and working closely with the provider/clinic staff to collect specific clinical information required for obtaining authorizations.

Insurance Verification includes confirming eligibility and obtaining benefit specifics, documentation of specifics, and obtaining referrals from internal and external customers for authorization to optimize reimbursement and prevent denials.


MINIMUM QUALIFICATIONS:


  • High School diploma or GED required.
  • 2 years of job related experience required.

KNOWLEDGE, SKILLS, & ABILITIES:


  • Must have excellent customer service and computer skills.
  • Must be proficient in CPT and ICD codes.

PREFERRED QUALIFICATIONS:

Prior hospital or physician office experience and/or has worked in the insurance industry capturing and explaining insurance preferred.


WHY PENN STATE HEALTH?


Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.


Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:


  • _Be Well _with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
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_Be Balanced __with Generous Paid Time Off, Personal Time, and Paid Parental Leave. _
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_Be Secured __with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. _
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_Be Rewarded __with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. _
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_Be Supported __by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. _
  • This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities. _

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