Precertification Representative

As a Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent to improve our workforce and support our mission, to that end we offer:

• Competitive salary
• Comprehensive, low-cost health insurance plans (including GLP-1 coverage options) available day one
• Wellness programs
• Paid Time Off accruals
• Tax deferred annuity and (403b) pension plan
• Tuition reimbursement
• Free on-site parking and train station shuttle
• Childcare partnership with Children’s Learning Center Location: Medical office building 29 Hospital Plaza, Stamford Schedule: Regular, Full Time, 8:00AM-4:30PM/8:30-5:00PM At Stamford Health, we believe that every patient deserves compassionate, personalized, person centered care. This commitment guides how we care for patients, support their care partners, and promote the wellbeing of our staff. In alignment with our Planetree philosophy, the individual in this role will foster a respectful, collaborative environment that honors the needs, values, and preferences of every person we serve and the colleagues we partner with.

Responsibilities

Performs timely insurance verification/eligibility processes utilizing the practice management system, automated electronic eligibility functionality, various reports, and the third party payer websites and customer service telephone contacts relations to ordered/scheduled therapeutic procedures, medications, surgeries and diagnostic testing.

Ensures that all insurance, demographic and eligibility information is obtained and entered into the system in an accurate manner per established Practice policies and procedures. Communicates with patient to identify missing information and make corrections as needed. Contacts insurance companies on behalf of the Practice and the patient to initiate and complete the pre-certification/authorization process as required by the patient's insurance company for ordered procedures, surgeries and diagnostic testing.

Qualifications

High School Diploma or General Education Development (GED) required. Clinical training a plus. 1-2 years of previous insurance verification, pre-certification/pre-authorization, medical billing or other related experience in healthcare environment. High level of competency with computers, electronic medical records, the Internet, and computer software such as MS Office or equivalent is required.

Knowledge of medical office operations, coding, and billing, medical terminology and third party insurance processes is required.