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Pre Certification Rep

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Job Details
Job Order Number
JC146404757
Company Name
Trinity Health
Physical Address

Westchester, IL 60154
Job Description

The Pre-certification Representative is responsible for ensuring that patients having pre-scheduled services are financially cleared before services are rendered. This is achieved primarily by completing insurance verification and pre-certification of a patient’s insurance coverage.

Position Summary:
The Pre-certification Representative is responsible for ensuring that patients having pre-scheduled services are financially cleared before services are rendered. This is achieved primarily by completing insurance verification and pre-certification of a patient’s insurance coverage.

Position Requirements:
Minimum Education: Required: High School Diploma plus training acquired through work experience or education
Preferred: Administrative or technical background acquired through completion of 2 – 3 years of college
Minimum Experience: Required: 1-2 years of previous job-related experience
Preferred: 3-5 years of previous job-related experience

Position Responsibilities:
Completes insurance verification of patient’s coverage by contacting the patient’s insurance carrier via phone or computer system. Completes pre-certification of patient’s insurance coverage by contacting said groups via phone and computer systems. Works with insurance carrier representatives and physicians to resolve pre-cert delays. Updates and/or corrects data in EPIC to reflect up-to-date demographic and insurance data required for clean claim submissions and timely payments from payors. Maintains working knowledge of payor pre-certification requirements necessary for account resolution.

Apply

Job Number: 00158497

Location: Westchester, IL

Organization Name: Loyola University Medical Center

Facility: LUHS-Westchester Prof Building

Employment Type: Full time

Shift: Day Shift

Hours: 40


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