The Precertification Specialist I is responsible for verifying patient demographics and insurance benefits, assuring authorizations for service are in place, and informing patient of estimated payment amount. The Precertification Specialist I maintains a resource schedule and acts as a liaison with the patient, provider, physician, and insurance companies.
Education Requirement
Required: High School Diploma or GED equivalent
Preferred: Certification or vocational training
Experience Requirement
Required: Minimum of one year previous clerical experience
Preferred: Minimum years of relevant experience 2-4
Knowledge of:
- Admitting procedures, insurance coverage and billing requirements
- General office procedures and equipment
- Billing and collections regulations
Skills in:
- Proficiency with general office equipment and Microsoft office applications
- Preparing and maintaining records, files, and reports
- Data entry with minimal errors
Ability to:
- Work independently as well as with a team
- Communicate effectively in both oral and written forms
- Multi-task and prioritize
Work Environment and Physical Requirements:
- Work is generally performed in a hospital environment. Frequent reaching, sitting, walking, and standing may be required. No special coordination beyond that used for normal mobility and handling of everyday objects and materials is needed to perform the job.
