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Pre-Certification Associate, Pharmacy Services, Days (Insurance, Clerical) - Penn State Hershey Medical Center - Hershey, PA

Pre-Certification Associate, Pharmacy Services, Days (Insurance, Clerical) - Penn State Hershey Medical Center - Hershey, PA -
Liable for offering affected person registration, CPT/ICD 9 codes and insurance verification. Registration duties embrace finishing the suitable registration for the providers the affected person shall be receiving, sustaining encounter integrity by choosing the suitable billing quantity to supply the go to, verifying affected person demographic and insurance info, and dealing intently with the supplier/clinic employees to gather particular medical info required for acquiring authorizations. Insurance coverage verification consists of confirming eligibility and acquiring profit specifics, documentation of specifics, and acquiring referrals from inner and exterior clients for authorization to optimize reimbursement and stop denials.

Highschool diploma or GED required.


2 years of job-associated expertise required.


Should have wonderful customer support and pc expertise.


Have to be proficient in CPT and ICD codes.


Hospital or doctor workplace expertise and/or has labored within the insurance business capturing and explaining insurance.


Six months expertise within the pre-authorization/pre-certification course of for pharmacy claims.


If chosen for this place, you could be required to move a Publish Supply Employment Bodily Examination in accordance with the measurements listed within the Work Activity Evaluation (WTA) report.


This job description is a basic define of duties carried out and isn’t to be misconstrued as encompassing all duties carried out inside the place. All people (together with present staff) chosen for a place will bear a background verify applicable for the place’s duties. Profession, Employment, Jobs, Opening, Shift, Schedule, Employees, Division, Unit, Workplace, Occupation, Compensation, Wage, Advantages, Description, Days, Evenings, Nights, Weekends, Full Time, Half Time, PRN, Per Diem, Hospital, Well being Care, Clinic, Healthcare, Doctor, Medical, Medical, Allentown, Camp Hill, Elizabethtown, Hanover, Hershey, Harrisburg, Kingston, Lancaster, Lebanon, Middletown, York, Hanover, Palmyra, Studying, State School, Wilkes-Barre, Pennsylvania, PA, Insurance coverage, Confirm, Verification, Administrative Assistant, Admin Asst, Receptionist, Scheduler, Scheduling, Schedule, Clerk, Clerical, Secretary, Secretarial




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