PRECERT SPECIALIST (PRN) - SAVANNAH, GA
Company: OPTiM
Location: Savannah
Posted on: October 26, 2024
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Job Description:
Optim Orthopedics is seeking (2) PRN Pre-Certification
Specialist(s) for our Savannah location.
Job Requirements:
Primary Duties:
Reviews clinic schedules 48 hours in advance of appointment for
designated locations and checks all eligibility and benefits to
ensure patient insurance is active. Will be required to contact
patient if there is an issue with their insurance in advance of the
appointment. Updates copay information in Athena and provides notes
in the patient account for the front desk regarding co-insurance,
deductibles due and collections of any balances due prior to
patient's appointment.
Responsible for verifying that authorizations are obtained and
attached to the appropriate appointments at the time of the visit
to ensure claim is submitted correctly and accurately. Promptly
answer all incoming calls within 3 rings in a professional and
efficient manner. Using a tone that conveys warmth, empathy and
patience.
Demonstrates a courteous, friendly and professional demeanor while
answering and routing phone calls. Illustrates efficiency regarding
patient and doctor inquiries by responding to their needs in a
timely manner. Accurately enters all patient demographics and
insurance information into the system.
Runs initial eligibility to ensure accurate insurance information
obtained. Obtains any authorizations as needed and accurately
inputs and ties authorization to the patient's appointment.
Maintains a professional demeanor even when callers are upset, and
contacting a supervisor if necessary. Handles all referrals from
outside physician offices in a timely manner. Requests patient
medical records and signed releases as required. Maintains a high
level of confidentiality when servicing patients. Performs routine
and some non-routine, continuous work involved with the operation
of telephone call center. Maintains a knowledge of the practice
phone tree therefore transferring calls appropriately. May be
required to work flexible hours and some weekends. Maintains area
of special assignment. Other duties as assigned
Optim Offers:
Keywords: OPTiM, Charleston , PRECERT SPECIALIST (PRN) - SAVANNAH, GA, Other , Savannah, South Carolina
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