Primary duty is to obtain pre-certification and prior authorization as needed for procedures ordered by PPG Cardiology Physicians. Communicates with insurance companies, physician offices, patients, and nursing staff in order to obtain all information needed for the approval of the authorization for the ordered/scheduled procedure or test. Must be able to identify the testing and insurance companies that require prior authorization. Secondary duty is to complete and mail/fax all short term/long term disability forms, FMLA, CDL recertification and many other forms for the entire practice.
Education
Must be a high school graduate or equivalent/GED. Medical Terminology required.
Licensure/Certification
N/A
Experience
Must have at least 3 years experience with physician insurance/billing department. Minimum of 3 years experience in a health care setting.
Other Qualifications
In depth knowledge of the insurance requirements for pre-certifying tests and procedures. Familiarity with clinical documentation is essential. Must possess basic computer knowledge and skills. Must have excellent verbal and written communication skills, very organized and detail oriented with the ability to multi-task and prioritize.
Why Parkview?
We have everything you're looking for in a career; great compensation and benefits; skill development and career advancement programs and more. At Parkview, we are committed to providing excellent care to each patient within our clinics and medical practices. The success of this mission begins with care team members like you.
Benefits: Health benefits, paid time off, employee assistance, community vendor discounts, payroll deduction options
Sign-on bonus: For certified and uncertified Medical Assistants, LPN's, and RN's hired in part-time and full-time positions.
Growth: Parkview's Medical Assistant Advancement Pathway (MAAP)
Culture: World-class teamwork, Personalized health journeys for co-workers and family members
Parkview is 14,000 strong
Parkview Health is a not-for-profit, community-based health system serving northeast Indiana and northwest Ohio. Our mission is to improve health and inspire well-being in the communities we serve. As the region's largest employer, Parkview Health employees more than 14,000 co-workers and includes 10 hospitals with an extensive network of primary care and specialty care physicians. We strive to embrace diversity and inclusion among our co-workers and offer a range of resources to advance you in your personal and professional journey. Our physicians, leaders and co-workers work together to create an excellent experience for every person, every day. With multiple non-clinical and clinical employment opportunities, you are sure to find your passion and discover your life-changing career today within the Parkview Health system.
To talk to a Parkview recruiter now, text "Parkview" to 97211.
A culture that just feels right.
At Parkview, we are known for our quality of care, innovation and collaboration among all care team members. Our culture can be seen and felt when walking through our front door and continues into the clinical care areas and administrative offices. Our nurses and leadership display shared values, friendliness, genuine compassion and a dedication to providing excellent care to every person, every day. But this caring continues beyond our doors as well. As a mission-driven, not-for-profit health system, Parkview also gives back to the community. Each year, we sponsor numerous outreach initiatives to address the health priorities of our region. Because at Parkview, we believe in better - not just for patients, but for the entire community.