About this role
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
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Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately complex hospital outpatient visits. Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notifies the payer of admission if required.
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Shift:
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Monday through Friday 11:00am-7:30pm
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2 Saturdays per month required
Qualifications
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Education
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H.S. Diploma or General
Education
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Degree (GED) Required
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Bachelor’s Degree from a recognized college or university Preferred
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Completion of medical coder training program Preferred
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Work Experience
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2 years in Healthcare Revenue Cycle or related healthcare experience Required
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3 years related healthcare Revenue Cycle experience within precertification/authorization Preferred
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Licenses and Certifications
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None Required
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Certification with Healthcare Financial Management Association Preferred
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Certified Revenue Cycle Representative Preferred
Business Unit : Company Name
Piedmont Healthcare Corporate