Openings >> Trauma Pre-certification and Self Pay Specialist Full Time
Trauma Pre-certification and Self Pay Specialist Full Time
Summary
Title:Trauma Pre-certification and Self Pay Specialist Full Time
ID:1896
Department:PRD
Location:Columbus, GA
Description

The Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or protected veteran status. This company is a VEVRAA Federal Contractor.


Position Goal: To ensure surgery authorizations are obtained for Trauma locations. To focus on self-pay accounts by communicating with patients.

Position Responsibilities:
  • Append authorizations, correct insurance to claim for processing.
  • Precertification for Trauma locations.
  • Review self-pay accounts receivable aged 60 days plus
  • Contact patient to discuss outstanding balances and/or collection of insurance information
  • Set payment plans as requested under specified guidelines for each entity
  • Process CC payments provided by patient/insurance companies under appropriate entity on CC machine
  • Work directly with Trauma analyst to ensure maximum reimbursement.
  • Enter corrected or updated insurance information into practice management system.
Experience:  Knowledge of insurance plans required. Medical office and data entry preferred.
Education: High School Diploma or equivalent required. 
Special Qualification:  Working knowledge of HIPAA/Medicaid/Precertification Process. Effective Time Management Skills, strong attention to detail. Must be able to adapt to constant changes, work well with minimal supervision in a fast paced environment.
This opening is closed and is no longer accepting applications
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