Pre-Certification Associate - Patient Access

Penn State Health - Penn State Health Corporation

Location: US:PA: Hershey

Work Type: Full Time

FTE: 1.00

Shift: Day

Hours: 8:30a - 5:00p

Recruiter Contact: Garrett C. Kieffer at [email protected] (MAILTO://[email protected])

SUMMARY OF POSITION:

Responsible for providing patient registration, CPT/ICD 9 codes and insurance verification. Registration responsibilities include completing the appropriate registration for the services the patient will be receiving, maintaining encounter integrity by selecting the appropriate billing number to produce the visit, verifying patient demographic and insurance information and working closely with the provider/clinic staff to collect specific clinical information required for obtaining authorizations. Insurance Verification includes confirming eligibility and obtaining benefit specifics, documentation of specifics, and obtaining referrals from internal and external customers for authorization to optimize reimbursement and prevent denials.

MINIMUM QUALIFICATIONS:

High School diploma or GED required 2 years of job related experience required.

KNOWLEDGE, SKILLS, & ABILITIES:

Must have excellent customer service and computer skills. Must be proficient in CPT and ICD codes.

PREFERRED QUALIFICATIONS:

Prior hospital or physician office experience and/or has worked in the insurance industry capturing and explaining insurance preferred

WHY PENN STATE HEALTH?

Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.

Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:

• Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).

• Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.

• Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.

• Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.

• Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

WHY PENN STATE HEALTH CORPORATION?

There are many ways to make an impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of operational, corporate, clinical, and nonclinical roles, we are advancing excellence and innovation in health care together as one team. As Penn State Health continues to evolve for the future, we are committed to hiring dedicated employees who are passionate about delivering the best possible support across our entire integrated health system.

Within Penn State Health's Shared Services Entity, we encourage our employees at every turn to continue their education and advancement. Numerous opportunities are available for professional development and career growth.

YOU TAKE CARE OF THEM. WE'LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence - that's Penn State Health. But what makes our healthcare award-winning? That's all you.

This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health's policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.

Union: Non Bargained

Position Pre-Certification Associate - Patient Access

Location US:PA: Hershey | Clerical and Administrative | Full Time

Req ID 95157