Pre-Cert/Insurance Authorization Specialist - (New Boston, OH)

Job overview * GENERAL SUMMARY * Works under the supervision of the Supervisor of Central Scheduling. The Pre-Cert/Insurance Authorization Specialist primary job functions are to perform professional orderly, efficient insurance verification and pre-cert. The Pre-Cert/Insurance Authorization Specialist responsibilities are to verify insurance coverage/eligibility, obtain pre-certification/prior authorization, benefit info through on-line systems and calling the insurance companies. Is responsible for scheduling outpatient procedures when insurance authorization is pending. Is responsible for safeguarding the public relations and confidentiality of the hospital and its records by consistent professional conduct. Performs other duties as assigned. * REQUIREMENTS * Education: * GED/High-school diploma required * Licensure: * None * Background: * 6 to twelve months of related work or hospital billing background required. * Background with computer preferred.