Precertification Representative
About the position The Precertification Representative is responsible for requesting, obtaining and following up on authorization requests. Manage stat requests and interdepartmental scheduling with minimal delay to customer. Correct utilization of all systems and accurately enters all mandatory information. Provides instructions to patients and physician's staff on authorization requirements and information. Establish and maintain a working knowledge and vocabulary of scheduled procedures. Manage daily operations including but not limited to: Meditech, Orders Management System, Call Center Equipment (phones, etc.). Responsibilities • Requests, obtains and follows up on authorization requests • Processes Phoned and/or faxed requests processed in a prompt and timely manner • Stat requests and interdepartmental scheduling processed promptly • Contacts the facilities, physicians' offices and/or insurance companies to resolve denials/appeals • Schedules patient tests, and/or procedures in a prompt, courteous manner • Correctly utilizes the features of the Meditech system and accurately enters necessary information • Instructs patients and physician staff on authorization, test preparation and registration information • Establishes and maintains a working knowledge and vocabulary of procedures scheduled • Demonstrates the willingness and ability to process requests for diagnostic procedures and coordinates the Peer to Peer function as needs arise • Checks patient orders for compliance with Medicare guidelines • Processes physician's orders in accordance with department standards • Assists with orientation of new employees as needed and serves as a resource within the department • Displays confidence when processing difficult or interdepartmental requests • Recognized by customers as knowledgeable and helpful Requirements • High school diploma or GED preferred • One year of precertification experience preferred • Previous Call Center Experience preferred • Meditech experience a plus • Virtual Employees are required to have wired High Speed Internet Speed 25 MBS Download and 15 MBS Upload Benefits • Comprehensive medical coverage that covers many common services at no cost or for a low copay • Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more • Free counseling services and resources for emotional, physical and financial wellbeing • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) • Employee Stock Purchase Plan with 10% off HCA Healthcare stock • Family support through fertility and family building benefits with Progyny and adoption assistance • Referral services for child, elder and pet care, home and auto repair, event planning and more • Consumer discounts through Abenity and Consumer Discounts • Retirement readiness, rollover assistance services and preferred banking partnerships • Education assistance (tuition, student loan, certification support, dependent scholarships) • Colleague recognition program • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income Apply tot his job