Penn State Health Pre-Certification Associate - PSH PPAS Rev Cycle in Reading, Pennsylvania

Penn State Health Shared Services

Location: US:PA:Reading

Work Type: Full Time

FTE: 1.0

Shift: Day

Hours: 8:00a - 4:30p

JOB SUMMARY:

Responsible for providing patient registration, CPT/ICD 9 codes and insurance verification. Registration responsibilities include completing the appropriate registration for the services the patient will be receiving, maintaining encounter integrity by selecting the appropriate billing number to produce the visit, verifying patient demographic and insurance information and working closely with the provider/clinic staff to collect specific clinical information required for obtaining authorizations. Insurance Verification includes confirming eligibility and obtaining benefit specifics, documentation of specifics, and obtaining referrals from internal and external customers for authorization to optimize reimbursement and prevent denials.

MINIMUM QUALIFICATIONS:

High School diploma or GED required

2 years of job related experience required.

KNOWLEDGE, SKILLS, & ABILITIES:

Must have excellent customer service and computer skills.

Must be proficient in CPT and ICD codes.

PREFERRED QUALIFICATIONS:

Prior hospital or physician office experience and/or has worked in the insurance industry capturing and explaining insurance preferred

This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, disability or protected veteran status. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 8:30 AM and 4:30 PM, Eastern Standard Time, Monday – Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.