Tamarack Health
Pre-Authorization / Pre-Certification Specialist | Patient Financial Services |
Tamarack Health, Ashland, Wisconsin, United States, 54806
Pre-Authorization / Pre-Certification Specialist | Patient Financial Services | Full-Time, In-Person
The Pre-Certification Specialist will be responsible for having all authorizations necessary for approval of services for patients who are scheduled for services at MMC or NWCC. Specialist able to discuss insurance coverage and potential financial liability with patients. This individual will also act as a patient advocate by being the liaison between the patient, doctors, hospital, and insurance company. Job Duties: Interviews patients scheduled for Ashland Medical Center or Northwest Wisconsin Cancer Center services. Verifies insurance coverage with clinic or patient. Contacts insurance company to pre-certify procedure (as necessary) and determine patient's liability. Discusses patient's liability with patient and coordinates a payment schedule. Answers patient's questions, and serves as an advocate by offering assistance in communications with the doctor, insurance company and/or hospital. Follows up with non-scheduled admissions following same procedure as above. Completes authorization process in EPIC. Inputs demographics into the computer system. Secures necessary signatures. Updates patients chart/record with required documents. May act as a relief for patient financial services, in times of emergency. Requirements: Completion of a two-year post high school degree in office support services or equivalent job experience. Must have at least 3 years' experience in healthcare billing or precertification. Must be able to key accurately at a minimum of 40 wpm. Must be competent with Microsoft office applications. Must be able to become competent with department specific software within 30 days of hire. Benefits and Salary: Commensurate with position and experience. Comprehensive benefits package to include: medical, HSA, dental, 403(b) with employer match of 5%, life insurance, long-term disability, PTO, sick time, EAP, wellness benefits, etc. About Us: As an independent hospital, we live our mission to improve the health and wellbeing of the people of our region. To improve access to care, we have expanded our local specialty and primary care services in our communities. Not far from Duluth, MN, our campus resides in the beautiful north woods of Wisconsin where you can balance work and home life on our beautiful lakes and trails by partaking in personal interests such as biking, cross-country skiing, hiking, fishing, water sports, ATVing, snowmobiling, and much more.
The Pre-Certification Specialist will be responsible for having all authorizations necessary for approval of services for patients who are scheduled for services at MMC or NWCC. Specialist able to discuss insurance coverage and potential financial liability with patients. This individual will also act as a patient advocate by being the liaison between the patient, doctors, hospital, and insurance company. Job Duties: Interviews patients scheduled for Ashland Medical Center or Northwest Wisconsin Cancer Center services. Verifies insurance coverage with clinic or patient. Contacts insurance company to pre-certify procedure (as necessary) and determine patient's liability. Discusses patient's liability with patient and coordinates a payment schedule. Answers patient's questions, and serves as an advocate by offering assistance in communications with the doctor, insurance company and/or hospital. Follows up with non-scheduled admissions following same procedure as above. Completes authorization process in EPIC. Inputs demographics into the computer system. Secures necessary signatures. Updates patients chart/record with required documents. May act as a relief for patient financial services, in times of emergency. Requirements: Completion of a two-year post high school degree in office support services or equivalent job experience. Must have at least 3 years' experience in healthcare billing or precertification. Must be able to key accurately at a minimum of 40 wpm. Must be competent with Microsoft office applications. Must be able to become competent with department specific software within 30 days of hire. Benefits and Salary: Commensurate with position and experience. Comprehensive benefits package to include: medical, HSA, dental, 403(b) with employer match of 5%, life insurance, long-term disability, PTO, sick time, EAP, wellness benefits, etc. About Us: As an independent hospital, we live our mission to improve the health and wellbeing of the people of our region. To improve access to care, we have expanded our local specialty and primary care services in our communities. Not far from Duluth, MN, our campus resides in the beautiful north woods of Wisconsin where you can balance work and home life on our beautiful lakes and trails by partaking in personal interests such as biking, cross-country skiing, hiking, fishing, water sports, ATVing, snowmobiling, and much more.