Pre-Certification Associate - Pharmacy Outpatient

Penn State Health Milton S. Hershey Medical Center

 

Location:  US:PA:Hershey

Work Type:  Full Time

FTE: 1.0

Shift:  Varied
Hours:  Varied

 

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

 

 

If chosen for this position, you may be required to pass a Post Offer Employment Physical Exam in accordance with the measurements listed in the Work Task Analysis (WTA) report.  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 fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. 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.

 

Union: Non Bargained