Pre-Certification - Patient Access

Are you passionate about helping others and ensuring they receive the best care possible? Look no further! Kettering Health Network is seeking a dedicated and detail-oriented individual to join our team as a Pre-Certification - Patient Access specialist. In this role, you will be responsible for verifying insurance coverage and obtaining necessary authorizations for patient procedures. The ideal candidate will have excellent communication skills, a strong attention to detail, and the ability to work in a fast-paced environment. If you are ready to make a positive impact on the lives of our patients, apply now!

1. Verify insurance coverage: The Pre-Certification - Patient Access specialist will be responsible for verifying insurance coverage for patients to ensure they have the necessary coverage for their procedures.
2. Obtain authorizations: This role will also require obtaining necessary authorizations from insurance companies for patient procedures to ensure that they are covered.
3. Communicate with patients: The ideal candidate will have excellent communication skills and will be responsible for communicating with patients about their insurance coverage and any necessary authorizations.
4. Attention to detail: The Pre-Certification - Patient Access specialist will need to have a strong attention to detail to accurately verify insurance coverage and obtain authorizations.
5. Work in a fast-paced environment: This role will require the ability to work in a fast-paced environment and handle multiple tasks simultaneously.
6. Collaborate with healthcare providers: The specialist will need to work closely with healthcare providers to ensure that all necessary information is obtained for insurance verification and authorizations.
7. Maintain accurate records: It will be the responsibility of the specialist to maintain accurate records of insurance verifications and authorizations for each patient.
8. Stay up-to-date on insurance policies: The specialist will need to stay informed about changes in insurance policies and procedures to ensure that patients are receiving the best care possible.
9. Provide exceptional customer service: The Pre-Certification - Patient Access specialist will be the first point of contact for patients, and therefore, will need to provide exceptional customer service and address any questions or concerns they may have.
10. Uphold confidentiality: The specialist will need to maintain patient confidentiality at all times and adhere to HIPAA regulations.
11. Collaborate with billing department: This role will require collaboration with the billing department to ensure that all necessary information is submitted for insurance claims.
12. Make a positive impact: The primary responsibility of the specialist is to make a positive impact on the lives of patients by ensuring they receive the best care possible through proper insurance verification and authorizations.

According to JobzMall, the average salary range for a Pre-Certification - Patient Access in Miamisburg, OH, USA is $35,000 - $45,000 per year. However, this can vary depending on factors such as experience, education, and specific job duties. It is best to research specific job listings in the Miamisburg area for more accurate salary information.

Kettering Health is a system of medical centers and outpatient facilities elevating health, healing, and hope in our community. Built from many people, places, backgrounds, and perspectives, we work as one to help you be your best.