Pre-Certification Specialist - Financial Clearance
: Job Details :

Title: Pre-Certification SpecialistLocation: Maury Regional Medical CenterPosition Shift: PRN As Needed 8a-430pPosition Summary:The Pre Service areas of technical competencies should include: Advanced knowledge of office equipment, computers, and insurance websites. Advanced knowledge of all healthcare insurance payers and authorization guidelines. Ability to communicate clinical documentation and insurance protocols for authorization. Create a positive impression for each patient, family member, visitor or staff while performing the tasks of scheduling and pre-certification. Schedule and obtain insurance pre-certification/pre-determination, and evaluate medical necessity compliance prior to patients receiving medical services, ensuring accuracy and timeliness. Obtain demographic information and validate insurance. Answer and provide resolution for any questions received from patients, visitors, and staff. Within scope of job, requires critical thinking skills, decisive judgment, effective oral and written communication skills, and the ability to work with minimal supervision. Must be able to work in a fast paced environment and take appropriate action.Credentials / Education: Associate'sPreferred 3 Years RelatedRequired High School Diploma or EquivalentPreferredAbout Maury Regional Health:Maury Regional Health is the largest health system between Nashville and Huntsville with approximately 2,800 employees and more than 200 physicians at our hospitals, clinics, surgery centers, outpatient facilities and physician practices throughout southern Middle Tennessee, including: Maury Regional Medical Center (Columbia) Marshall Medical Center (Lewisburg) Wayne Medical Center (Waynesboro) Lewis Health Center (Hohenwald) Maury Regional Medical Group physician practices Additional locationsWhy Join Our Team? Culture: Magnet designation at Maury Regional Medical Centerand a commitment to patient-centered care Recognition forBest Place for Working Parentsrecognition for 2024 Educational Opportunities: Educational Assistance such as Tuition Reimbursement, Student Loan Repayment, and Mentorship Programs (for qualifying candidates) Career Advancement/Navigation: Cross-training, mentorships, and internal promotions Benefits: Competitive pay, comprehensive benefits package including medical, vision, and dental enrollment period in your first 30 days of employment, retirement matching, and complementary parking on campusMaury Regional Health is committed to the principles of Equal Employment Opportunity in all aspects of the employer/employee relationship. Maury Regional Health grants equal employment opportunities to all qualified persons without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origins (including ancestry), genetic information, disability, age, military/ national guard/ veteran status, sexual orientation, gender identity, or gender expression, or other status protected by state or federal law. Statements made by applicants for employment on this application form will be checked for accuracy. Maury Regional Health campuses are tobacco-free. All tobacco use is prohibited.