Kettering Health Network

Pre-Certification - Patient Access

Kettering Health Network

Kettering, OH, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Are you passionate about providing exceptional patient care and ensuring that necessary procedures are properly authorized and covered? Look no further than Kettering Health Network's Pre-Certification - Patient Access position! As a member of our team, you will play a vital role in obtaining pre-authorization for medical procedures and services, ensuring that our patients receive the best possible care. We are seeking highly motivated individuals with strong communication and organizational skills, as well as a thorough understanding of insurance verification and pre-certification processes. If you are dedicated to improving the patient experience and have a background in healthcare administration, we would love to have you join our team!

  • Obtain pre-authorization for medical procedures and services for patients
  • Communicate with insurance companies to verify coverage and pre-certification requirements
  • Collaborate with healthcare providers to ensure proper authorization for all necessary procedures
  • Maintain accurate and up-to-date knowledge of insurance policies and pre-certification processes
  • Educate patients on their insurance coverage and out-of-pocket costs
  • Ensure all necessary documentation is completed accurately and in a timely manner
  • Utilize electronic systems to track and document pre-certification information
  • Work closely with other members of the healthcare team to ensure seamless patient care
  • Stay informed of any changes or updates to insurance policies and pre-certification processes
  • Maintain confidentiality and adhere to all HIPAA regulations
  • Participate in training and development opportunities to continually improve skills and knowledge.
Where is this job?
This job is located at Kettering, OH, USA
Job Qualifications
  • High School Diploma Or Equivalent Education

  • Minimum Of 2 Years Of Experience In Healthcare Or Customer Service

  • Knowledge Of Medical Terminology And Insurance Verification

  • Proficient Computer Skills And Experience Using Electronic Medical Records Systems

  • Strong Communication And Interpersonal Skills, With The Ability To Work In A Fast-Paced And High-Stress Environment.

Required Skills
  • Data Entry

  • Multitasking

  • customer service

  • Medical Terminology

  • Interpersonal Communication

  • Patient Scheduling

  • Insurance Verification

  • Hipaa Compliance

  • Billing And Coding

  • Electronic Health Records

  • Registration Process

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • flexibility

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Pre-Certification - Patient Access in Kettering, OH, USA is $24,300 - $39,800 per year. However, this can vary depending on factors such as experience, education, and specific job responsibilities.

Additional Information
Kettering Health Network is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedOctober 3rd, 2024
Apply BeforeJuly 8th, 2026
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About Kettering Health Network

Kettering Health is a system of medical centers and outpatient facilities elevating health, healing, and hope in our community. Built from many people, places, backgrounds, and perspectives, we work as one to help you be your best.

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