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  • 7300 Beaufont Springs Drive
    Richmond, VA 23225

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PreCertification Representative

Parallon • Richmond, VA

Posted 1 month ago

Job Snapshot

Full-Time
Degree - High School
Healthcare - Health Services
Other

Job Description

Insurance Pre-Certification Coordinator - Richmond, VA – Full Time
 
Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.
 
JOB SUMMARY:  The Pre-Certification Coordinator is responsible for ensuring that authorization for scheduled services is obtained and documented on patient accounts. The position requires excellent customer service for concise and articulate communication with insurance companies, facility registration personnel, physicians’ offices and patients.
  
DUTIES (including but not limited to):
  • Place calls to various health plans to obtain appropriate pre-certification prior to the patient’s appointment
  • Develop effective relations with managed care representative as well as physicians and physician office staff
  • Must have knowledge of insurance, physician office operations and certification and referral flow
  • Develop and submit supporting data and reports as requested by management
     
     
    KNOWLEDGE, SKILLS & ABILITIES:
    Communication - communicates clearly and concisely, verbally and in writing.  This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
    Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
    Interpersonal skills - able to work effectively with other employees, patients and external parties
    PC skills - demonstrates proficiency in Microsoft Office applications and others as required including: Outlook, Excel and internet navigation.
    Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
    Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player,  adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
     
    Education:
    Must have a high school diploma or GED.
     
     
    Experience:
    One year of related experience required.
    Two to three years of medical office/insurance experience preferred.
    Knowledge of medical terminology and ICD-10 codes and medical insurance is preferred.
    Medical/Health Insurance experience is strongly preferred.
    You will need to pass a typing test with scores of at least 30wpm and 3 or fewer errors prior to interviewing.
    Must have strong computer skills: Outlook, Internet navigation, Excel sorting.
     
     
    We offer free parking, training support, competitive salary and excellent benefits to include several insurance package options for Medical, Dental and Vision; Paid Time Off for vacation, sick leave and holidays, Employer-paid Short Term Disability, Company matching 401K and more!

    Parallon is an Equal Opportunity Employer (EOE), minority/ female/ veteran/ disabled, offering a great work environment, challenging career opportunities, and competitive compensation.
     
     
    #ParallonBCOM
     
     
     

Job ID: 08648-161214
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