Job Posting
Pre-Certification Specialist - Business Office
Responsibilities/Accountabilities:
Pre-certification:
1. Pre-certify evaluation and treatment as required by insurance provider and documents appropriately.
2. Verify insurance eligibility and benefits online or by phone. Updates insurance policy information in
EMR as required, such as completion of Notification of Benefits form.
3. Verify receipt of all necessary pre-authorization documents prior to treatment.
4. Provide patients with estimated written documentation of covered services per the patient’s
insurance coverage.
Scheduling and Registration:
5. Greets patients upon arrival in a prompt, polite and helpful manner
6. Accurately and efficiently checks patients in using practice management system
7. Collects patient and insurance information required to update EMR including scanning insurance
cards
8. Collects co-payments according to insurance plan information appointment type and documents if
needed on co-pay record
9. Directs patients within clinic and notifies clinical staff as needed
10. Accurately keys patient demographic information in EMR
11. Performs medical reception duties as needed including answering telephones, screening calls, taking
messages, and pulling patient information
12. Answers patient questions and responds professionally to patient concerns, i.e., pleasant tone of
voice, smile, use courteous language, etc.
13. Answers incoming calls to triage, schedule, or cancel appointments for therapy services and/or take
complete and accurate messages. Ensures that related follow-up work is completed in a timely
manner (same day or by next day), including relaying message to clinicians to return calls
14. Uses Therapy Services protocols including insurance coverage to determine the most appropriate
approach to scheduling patients
15. Makes outgoing calls to reschedule appointments as needed or to provide patient reminders of
appointment times and information needed for appointments, insurance cards, etc.
16. Prints schedules and prepares patient information for the following day ensuring medical record is
current and documentation needed is available
17. Calls patients who missed appointments to reschedule
18. Checks patients out when appointment ends, schedules follow up appointments as requested
19. Various clerical duties including copying, faxing, scanning, and filing
20. Other duties assigned in support of clinicians or physicians
Education, Experience, and Certification/Licensure Required:
- High School Diploma or equivalent required.
- Customer service experience and basic computer skills required, preferably in a windows
environment with electronic medical records software.
- Medical terminology or other previous medical office experience desirable.
- Pre-certification experience preferred.
Additional Information
Position Type : Full Time
Shift : Day
Contact Information
Carolina Olvera - Human Resources Director
Human Resources
704 Hospital Drive
Carrizo Springs, TX 78834
Email: hr@dimmitregional.com
Phone: 830-876-2424
Fax: 830-876-2420 |
