Bothwell Regional Health Center

  • Managed Care Specialist, 8a-4:30p, 80hrs/ppd

    Job Locations US-MO-Sedalia
    Posted Date 4 weeks ago(5/23/2018 1:58 PM)
    ID
    2018-2088
    # of Openings
    1
    Category
    Administrative/Clerical
  • Overview

    The Pre-cert/ Manage Care Specialist -is responsible for verifying insurance coverage and Pre-cert/Pre-Authorization of all Inpatient and Outpatient registrations.

     

    The Pre-cert – Managed Care Specialist reports directly to the Director of Financial Services.

    Responsibilities

    1.      

    Verifies insurance coverage and obtains pre-certification and authorization on inpatient, outpatient and recurring accounts

    2.      

    Reviews each departs schedule and notates if authorization is required, list authorization number and if any additional information is needed before the test is preformed is notated on the schedule

    3.      

    Work list – this is a list of all accounts registered for service to verify insurance coverage and if authorization is required

    4.      

    All other duties as assigned

    Qualifications

    • Education

     

      1. High School Graduate
      2. Understands Revenue Cycle Operation
      3. Insurance background preferred

     

    • Work Experience

     

      1. General office experience preferably with insurance claims knowledge.
      2. Ability to operate various office machines.
      3. Be able to work independently and make reasonable decisions while maintaining confidentiality.
      4. Strong computer skills
      5. Strong customer service experience

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