Job description
Overview
Experience the advantages of real career change
Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.
Responsibilities
Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for complex outpatient hospital services, and specialized procedures (i.e. Recurring Visits, Surgeries, IR). Obtains pre-certification or pre-authorization prior to the scheduled complex service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notify payers of admittance if required.
SHIFT: MONDAY - FRIDAY 9:30am – 6:00pm.
Qualifications
Education
H.S. Diploma or General Education Degree (GED) Required
Bachelor’s Degree from a recognized college or university Preferred
Completion of medical coder training program Preferred
Work Experience
3 years exp in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle Required
4 years of previous related healthcare Revenue Cycle experience Preferred
Prior Epic experience Preferred
Clinical experience (i.e., medical assistant, surgical tech) Preferred
Licenses and Certifications
None Required
Certification with Healthcare Financial Management Association Preferred
Certified Revenue Cycle Representative Preferred
Business Unit : Company Name
Piedmont Healthcare CorporateOriginally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.