Care Access Pre-Certification Specialist - York Hospital - York, ME |
Read the Hire Local Blog

Care Access Pre-Certification Specialist

York Hospital | York, ME 03909

York Hospital
At York Hospital, we're more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a Hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.

York Hospital, we are a Community. For Life.

We have an opening for a an experienced Care Access Pre- Certification Specialist. This is a full time, 40hrs/wk position working in our Care Access Center at York Hospital. The hours for this position are M-F 8:00am-5:00pm.

The Care Access Pre-Certification Specialist is responsible for the following:

  • Verifying insurance coverage for all inpatient and observation bed admissions and initiate pre-certification with insurance companies; work in conjunction with Utilization Review nurses to coordinate process; provide documentation and revise admissions as necessary to insure proper claim submission

  • Register and verify coverage and obtain prior authorization for all surgery, special procedure and physical therapy patients

  • Assist York Hospital teams and medical practices with pre-certification questions and issues

In order to help us continue to provide exceptional Patient/Customer experiences we need you to have the following:

  • Minimum (2) or more years of Pre-Certification experience.

  • Excellent customer service and computer skills.

  • Hospital pre-certification experience is preferred.

Job Code: 4040
Posted On: 04/21/192019-04-21
Closing Date: Open Until Filled
Telecommute: No
Categories: Customer Service, Healthcare
Job Status: Full Time
Similar Jobs: Within 25 miles of 03909, Customer Service, Healthcare

Enter your email to start the apply process

NOTE: You will be taken to the employer's website to complete this application.