Introduction
This Work from Home position requires that you live and will perform the duties of the position within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Do you want to join an organization that invests in you? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Job Summary and Qualifications
The Precertification Representative is responsible for requesting, obtaining, and following up on authorization requests. You will handle interdepartmental scheduling with minimal delay to the customer, utilize all systems correctly, and accurately enter all mandatory information. You will provide instructions to patients and physician's staff on authorization requirements and maintain a working knowledge of scheduled procedures.
Key Responsibilities
- Request, obtain, and follow up on authorization requests.
- Process phoned and/or faxed requests in a prompt and timely manner.
- Manage stat requests and interdepartmental scheduling promptly.
- Contact facilities, physicians' offices, and/or insurance companies to resolve denials/appeals.
- Schedule patient tests and/or procedures in a prompt, courteous manner.
- Correctly utilize the Meditech system and accurately enter necessary information.
- Instruct patients and physician staff on authorization, test preparation, and registration information.
- Coordinate the Peer to Peer function as needs arise.
- Check patient orders for compliance with Medicare guidelines.
- Process physician's orders in accordance with department standards.
- Assist with orientation of new employees and serve as a resource within the department.
Qualifications
- High school diploma or GED preferred.
- One year of precertification experience preferred.
- Previous Call Center experience preferred.
- Meditech experience a plus.
- Virtual Employees are required to have wired High Speed Internet (25 MBS Download and 15 MBS Upload).
- Remote employees are required to live within 60 miles of an HCA hospital.
Benefits
Parallon offers a total rewards package that supports the health, life, career, and retirement of our colleagues, including:
- Comprehensive benefits (medical, dental, vision, behavioral health, telemedicine).
- Wellbeing support, including free counseling.
- Time away from work programs (PTO, paid family leave, disability).
- Savings and retirement resources (401(k) with match, Employee Stock Purchase Plan).
- Education support (tuition assistance, student loan assistance).
- Additional benefits for family building, insurance, and consumer discounts.
About Parallon
Parallon provides full-service revenue cycle management for HCA Healthcare. We have over 17,000 colleagues and serve close to 1,000 hospitals and 3,000 physician practices.
We are an equal opportunity employer. Submit your resume today to join our community of caring!