Precertification Specialist

Southeast Alabama Medical Center
Full time Full day
Dothan, AL

QUALIFICATIONS: 1.############ High School graduate or equivalent######### 2.############ Two years college education in business related field or experience to same is preferred. 3.############ Medical Terminology required. 4.############ Successfully passed State of Alabama CPAR# exam preferred 5.############ Certified Professional Coder (CPC) or Certified Coding Associate (CCA).# Applicants with knowledge of anatomy, physiology as evidenced by a score of at least 90% on medical terminology test will be considered, but will be required to obtain the certification or entered into a certification program to include certification within 1 year of accepting position. 6.############ Knowledge base of hospital charge system and billing system preferred. 7.############ Proficiency with the hospital registration system preferred. 8.############ Ability to calculate self-pay portion of an accounts based on their insurance coverage and charges. 9.############ Knowledge of insurance provider#s authorization requirements and required reimbursement guidelines and medical necessity screening. 10.######### Ability to utilize multiple software systems to complete tasks. ( EX: Paragon, MPF, Revrunner, Payer websites, AHIQA, etc) 11.######### Available to rotate work hours for weekends and holidays, as needed. # LANGUAGE/ COMMUNICATION SKILLS: 1.############ Excellent written, verbal and interpersonal skills required. 2.############ Strong skills in in organization. 3.############ The ability to multitask. 4.############ Utilize focus skills and have the ability to pay strong attention to detail. 5.############ The ability to accomplish tasks within a prescribed time frame and meet scheduled deadlines. # # SKILLS: 1.############ Basic typing, calculator and computer skills. 2.############ Experience in operating personal computers in a Windows environment (Preferred). # #


QUALIFICATIONS:




  1. High School graduate or equivalent




  2. Two years college education in business related field or experience to same is preferred.




  3. Medical Terminology required.




  4. Successfully passed State of Alabama CPAR exam preferred




  5. Certified Professional Coder (CPC) or Certified Coding Associate (CCA). Applicants with knowledge of anatomy, physiology as evidenced by a score of at least 90% on medical terminology test will be considered, but will be required to obtain the certification or entered into a certification program to include certification within 1 year of accepting position.




  6. Knowledge base of hospital charge system and billing system preferred.




  7. Proficiency with the hospital registration system preferred.




  8. Ability to calculate self-pay portion of an accounts based on their insurance coverage and charges.




  9. Knowledge of insurance provider's authorization requirements and required reimbursement guidelines and medical necessity screening.




  10. Ability to utilize multiple software systems to complete tasks. ( EX: Paragon, MPF, Revrunner, Payer websites, AHIQA, etc)



  11. Available to rotate work hours for weekends and holidays, as needed.


LANGUAGE/ COMMUNICATION SKILLS:




  1. Excellent written, verbal and interpersonal skills required.




  2. Strong skills in in organization.




  3. The ability to multitask.




  4. Utilize focus skills and have the ability to pay strong attention to detail.



  5. The ability to accomplish tasks within a prescribed time frame and meet scheduled deadlines.


SKILLS:




  1. Basic typing, calculator and computer skills.



  2. Experience in operating personal computers in a Windows environment (Preferred).

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