- The Pre-Certification Representative obtains all pertinent insurance benefit information and/or pre-certification information for patients before scheduled for clinical services.
- The position requires excellent customer service for concise and articulate communication with insurance companies, scheduling personnel, physicians' offices and patients.
- Handles pre-certification procedures pertaining to patients by collecting insurance information and entering information into Prime Suite system.
- Verifies insurance benefits/coverage by contacting insurance companies; obtains insurance information for pre-certification for procedure; works with insurance company, health care provider & patient to get claims processed & paid.
- Answers patient inquiries in a professional & courteous manner.
- Records benefit and certification information into the applicable computer system and communicates with scheduling in accordance to established work processes.
- Performs other duties as assigned.
- High School Diploma or equivalent required.
- 1 – 2 years' experience in medical or related field
- Knowledge of medical terminology and procedures, knowledge of health insurance industry practices and/or medical billing procedures.
- Experience with medical scheduling/billing systems preferred.
- Exceptional customer service, interpersonal skills, and communication skills
- Proficiency of electronic records systems preferred. Must have strong data entry skills.
- Must be able to complete tasks with a high-degree of efficiency and accuracy while working in a fast-paced environment with frequent disruptions.
- Must demonstrate ability to analyze data and resolve complex problems.
- Must have the ability to work independently while managing time and workload appropriately.
- Must be able to travel to all clinic locations and work overtime hours as needed.
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Pre-Cert Representative - Vancleave, United States - Bienville Orthopaedic Specialists
Description
Position Overview:Essential Job Duties:
Remote: None
About Bienville Orthopaedic Specialists:
Bienville Orthopaedic Specialists is the largest Orthopaedic group in Mississippi. Founded in 1981, Bienville Orthopaedics has now grown to 18 physicians who have admitting privileges at five local hospitals and over 300 employees,. Our physicians offer the most up-to-date technology while maintaining personalized care. Our dedicated staff, at all five of our locations, work hard to create a comforting atmosphere and an environment conducive to healing.
A history of excellence by a renowned team of physicians has made Bienville Orthopaedic Specialists the largest and most TRUSTED provider of orthopaedic care in Mississippi.
Bienville Orthopaedic Specialists delivers personalized care using the most advanced technology available with a compassionate understanding of our patient's individual needs. Our success lies in the dedication of our employees as each one is selected for their commitment to our values, a strong focus on service, and a passion for the care of our patients.
Bienville Orthopaedic Specialists is an Equal Opportunity Employer and reports to E-Verify for proof of work eligibility and the State Directory of new hires.
We will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS) with information from each new employee's Form I-9 to confirm work authorization.
BIENVILLE OFFERS:
*Excellent benefits package
*Competitive salary, health, dental and vision coverage
*Paid vacation, sick time and holidays
*Flexible schedules
*Long-term and short-term disability
*Life insurance
*401(k)
*Profit-sharing plan
*And much more
