Welcome page Returning Candidate? Log back in! Pre-Certification I -Patient Access Pre Clrnc - Miamisburg - FT/Days Posted Date 11 hours ago(1/30/2025 11:51 AM) Job ID 2025-53256 Job Category Patient Access/Central Scheduling Job Type Full-Time Shift First Shift Department 932493 - PATIENT ACCESS - PRECLRNC FTE 80 Hours Per Pay Period/FTE 1.0 Job Code 126580 Responsibilities & Requirements

JOB SUMMARY:

 

This network-wide position, under the direction of the Pre-Access Manager, Kettering Health, is responsible to facilitate the patient intake process by obtaining and validating precertification’s on scheduled outpatient services, sleep studies, radiation oncology, elective scheduled surgeries and/or additional services as needed. The Representative reviews insurance verification and obtains/validates precertification information when required at each encounter to ensure accurate and complete billing. This highly visible position must be aware of the importance and impact this position has on KH denial and public relations. The representative provides exceptional customer service to our patients, providers and all other departments and is always expected and required to be exhibited 

 

Demonstrates through behavior Kettering Health’s mission, vision and services standards as outlined in the organization’s training. Maintain competence and use critical thinking skills to promptly resolve consumer inquires within assigned functional area(s). Demonstrates successfully to resolve customer inquiries  Adhere to all established workflows, scripting, and department greetings  Create delightful customer experience by setting proper expectations and consistently following through with end- users  Documents all interactions and consistently update consumer records in the relevant technology system(s)   Demonstrates appropriate customer-care skills such as empathy, active listening, courtesy, politeness, helpfulness and other skills as identified to a variety of customers including consumers, clinic staff, physicians, Pre-Access colleagues, and leaders  Achieves individual key department performance objectives such as quality assurance and productivity. Maintain knowledge of Pre-Access and Kettering Health offerings to provide exceptional services   Handle sensitive matters courteously and with professionalism. When appropriate, escalate with leadership for proper awareness and/or resolution.  Adhere to department policies and procedures and HIPAA regulations  Perform other duties as assigned by department leaders  

 

 

KNOWLEDGE AND SKILLS REQUIRED:  

 

Ability to articulate the mission of Kettering Health and Pre-Access Strong attention to detail and ability to take initiative to resolve inquiries and issues Demonstrated personal commitment to promoting and providing excelled customer service Demonstrated interpersonal, customer relations, and communication skills; remains patient while interacting with consumers and colleagues Exhibits desire to continuously learn, improve service delivery, and work in a team environment Ability to listen and document notes simultaneously Ability to read, analyze, and interpret verbal and written instruction Maintains high energy and positive attitude Ability to remain calm under pressure Adapts to change and balances multiple priorities in a fast-paced environment Demonstrates regular, consistent and punctual attendance Effective communicator in English, both orally and in writing Computer Proficiency: Microsoft Office Suite programs and basic keyboard typing skills Technological aptitude to accomplish additional programs and technologies, including CRM, telephony, electronic health records, and other potential systems 

 

 

QUALIFICATIONS AND EXPERIENCE: 

 

High school diploma required One-year customer service experience required. Previous registration/medical/billing office experience preferred. Demonstrated competency in working in teams and ability to effectively communicate with all levels. Proficient in computer skills and phone skills. Ability to function in high paced often stressful environment and/or circumstances while maintaining a respectful, caring and professional manner. Must have the ability to perform as a collaborative team member. Able to understand and maneuver through clinical documentation in EPIC and payer portal   Options Apply Today!ApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Need help finding the right job? We can recommend jobs specifically for you! Click here to get started. Application FAQs

Software Powered by iCIMS
www.icims.com