Pre Cert Rep - CBO2

Position Summary: A Precert Rep is placed inside a high volume Call Center to schedule and pre-authorize diagnostic testing. Their daily routine varies depending on the needs of the department. They ensure that imaging procedures are scheduled correctly and are authorized in accordance with payer requirements to support timely patient care, reduce denials, and maintain compliance with hospital and insurance guidelines.

Primary Responsibilities

• Schedules patients at physician request for diagnostic services
• Verifies insurance coverage for services as well as whether a pre-auth is required – obtaining the pre-auth as needed
• Communicates appointment information and preparation instructions to patients
• Communicates with referring providers to ensure all clinical documentation needed is available at time of appointment
• Maintains requested statistics, clinical documentation, and reports

This position requires, at minimum, a high school diploma or GED. Prior experience in the healthcare environment and/or customer service is preferred. A working knowledge of computers and systems to include Microsoft Word, Excel, and Outlook are necessary. This position requires the ability to communicate in a pleasant, professional, concise, and caring manner. It also requires critical thinking and problem solving to ensure the best care possible for our patients.

About Us

Highlights of our hospitals

Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army’s Partnership for Your Success (PaYS) program.

Huntsville Hospital Benefits

Ask us about incentives and additional opportunities.

We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!

Learn More About Huntsville Hospital Health System

• Careers: https://careers.hhsys.org/careers-home
• Benefits: https://careers.hhsys.org/us/en/benefits
• Education & Professional Development: https://www.huntsvillehospital.org/education
• Life In Huntsville: https://www.huntsvillehospital.org/about-huntsville-al