Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Tier 1 Precert Specialist
Job
Campbell Clinic
Cookeville, TN (In Person)
Full-Time
Review key factors to help you decide if the role fits your goals.
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
44
out of 100
Average of individual scores
Skill Insights
Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.
Job Description
POSITION SUMMARY
Responsible for all aspects of assigned patient pre-certification of surgeryESSENTIAL
FUNCTIONSReasonable Accommodations StatementTo accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.Essential Functions Statement(s) Verifies and updates insurance information and demographics Pre-certifies all surgeries Reviews insurance eligibility Keeps up with changes in billing and pre-cert guidelines (Including LDCs) Reports denial trends to coders and manager Reviews insurance eligibility and rejections/errors Enters authorization information into Athena Follows-up with aging buckets Scans surgery scheduling sheets to Athena Enters surgeries on the Excel spreadsheet and scheduling book for each doctor Determines and reviews financial responsibilities and insurance coverage with patients Reviews surgery costs and establishes payment plans for patient portion Keeps up with changes in payor processes and reports them to coordinator for appropriate action Obtains all pre-certifications Responds to correspondence from payors and patients Regular and predictable attendance Ability to work in a cooperative manner with others Performs other duties as assigned
SKILLS & ABILITIESEducation:
High School Graduate or General Education Degree (GED)Experience:
Previous healthcare billing experience is requiredComputer Skills:
Must be computer literate. Basic computer skills required. Must be able to type.Campbell Clinic Benefit Summary:
Campbell Clinic offers a lucrative benefit package to support employees and their families.Medical / Dental
/ Vision InsuranceHRA OptionFlexible Spending Account Basic Life Insurance Voluntary Life Insurance OptionLong-Term DisabilityVoluntary Short-Term Disability Accident Insurance Critical Illness Insurance401(k) Plan Matching +Profit Sharing Employee Assistance Program Paid Time Off Personal/Sick Time Paid Holidays ADA Disclaimer:
In developing this job, description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.Equal Opportunity Employer/Veterans/Disabled