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Robert Half International PRE-CERTIFICATION SPECIALIST in ALLENTOWN, Pennsylvania

Description

SUMMARY

OfficeTeam is currently seeking skilled candidates to fill a rewarding PRE-CERTIFICATION SPECIALIST role with one of our clients located in Allentown, PA. In this PRE-CERTIFICATION SPECIALIST position, you will get your chance to work in the healthcare industry and an opportunity to make a difference. Play a vital role with this PRE-CERTIFICATION SPECIALIST position as you will gain an opportunity to work with one of the top employers in the Lehigh Valley! In this PRE-CERTIFICATION SPECIALIST role, you will responsible for gathering and maintaining patient demographics and financial information. This PRE-CERTIFICATION SPECIALIST will also be assisting in the creation of patient accounts and reviewing outstanding pre-certification requests. The PRE-CERTIFICATION SPECIALIST will also be ensuring that authorization is being obtained and documented accurately and in a timely manner. In this PRE-CERTIFICATION SPECIALIST role, you will be aiding in the completeness of pre-certification so a high level of expertise in pre-certification is a must! Get your career moving in the right direction with this PRE-CERTIFICATION SPECIALIST role as this company can offer challenging but career-building experience all while providing excellent rewarding growth opportunities!

This PRE-CERTIFICATION SPECIALIST position is on-site and candidate must be commutable to the office located in Allentown, Pennsylvania.

DUTIES

Input patient registration information and account data in hospital system

Assist in the insurance/benefit verification process

Ensure all referral and authorization requirements are completed; notate correct date of service, procedure codes and facility

Explain referral and authorization requirements to patient, family and referring physician offices as needed

Obtain referral and/or authorizations prior to scheduled procedure date

Maintain current and detailed knowledge of third-party requirements

Utilize office software for insurance verification/eligibility

Utilize patient estimation software to communicated patient responsibility

Scan orders and referrals/authorizations into system

Call the physician's' office prior to appointment for any missing documentation

Make sure worklists are reviewed to assure authorizations and referrals are being obtained retrospectively where possible to minimize denials

Accurately update scheduled appointments to include referral and authorization requirements

Ensure the scheduled appointments match the corresponding account registration

Maintain compliance when working with patient insurance information

Additional clerical tasks as assigned

FOR IMMEDIATE CONSIDERATION, PLEASE CALL 610-882-1700 OR EMAIL RESUMES TO: Lehigh.Valley@OfficeTeam.com

Requirements

REQUIREMENTS

Prior experience in Medical Admin/Insurance Verification experience

MUST HAVE Precertification experience

Position is on-site and candidate must be commutable to office in Allentown, PA

Proficient computer skills including Microsoft Office Suite

Excellent organizational and communication skills

Experience in Pre-authorizations and Referral is preferred

Must be a reliable and dependable employee!

OfficeTeam, a Robert Half Company, matches professionals in the administrative field with remote or on-site jobs on a temporary and temporary-to-full-time basis. Whether you're a seasoned administrative pro or starting your career, we have options for you.

Our experienced staffing professionals can promote you to employers and advocate on your behalf. We provide access to top jobs, competitive compensation and benefits, and free online training. For more opportunities, get the Robert Half app and receive instant notifications when our AI matches your skills and experience with jobs.

When you work with us, you’re working with the best. has been recognized as one of FORTUNE’s “Most Admired Companies” every year since 1998 and was named to Forbes’ inaugural list of America’s Best Temporary Staffing Firms.

Questions? Call your local office at 1.888.490.4154. All applicants applying for U.S. job openings must be authorized to work in the United States. Benefits are available to temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.

© 2020 OfficeTeam. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (www.roberthalf.com/terms-of-use).

Salary: DOE

Location: ALLENTOWN, PA

Date Posted: January 12, 2021

Employment Type: Temporary

Job Reference: 03700-0011664230

Staffing Area: Office u0026 Administrative

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