Pre-Certification Supervisor
This job posting is no longer active.
- Savannah, GA
- System - Insurance/Payment Verification
- Full Time - Days
- Req #: PR16142-10300
Summary
Position Summary
Responsible for the implementation and monitoring of ongoing quality, productivity, and efficiency by supervising co-workers within the designated area of pre-certification within the Pre-Visit Services Department. Pre-Certification Supervisor will work with Patient Accounts, Denials Management, and Radiology leaders regarding process flow improvements to deliver a seamless billing experience. Ensures compliance with CMS inpatient guidelines regarding patient status. Maintain working knowledge of payer requirements, ICD-10 and CPT codes. Complete and maintain co-worker schedules making changes according to the needs of the business and patient flow, volumes, and financial status. Pre-Certification Supervisor will work with manager to set and achieve department goals. Align new co-workers with schedule for training, and ensure for appropriate follow-up procedures are in place for co-worker education. Assist in co-worker attendance, tardy, and vacation in compliance with corporate attendance policy. Pre-Certification Supervisor will collaborate with the manager during the new hire process, evaluating performance, and administering employee corrective action. Participate in system upgrades and enhancements.
Education
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Bachelors of Business - Preferred
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CPT and ICD-10 code knowledge - Required
Experience
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3-5 Years Pre-certification, insurance verification, patient billing experience in a health care environment. - Required
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1-2 Years Supervisory experience in a health care environment. - Preferred
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Knowledge of regulatory and third party payer requirements to ensure compliance - Required
License & Certification
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None Required